23D2255539 CLIA NUMBER - PIONEER ENDOSCOPY & SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D2255539
  • Facility Name: PIONEER ENDOSCOPY & SURGERY CENTER
  • Facility Address: 36401 VAN DYKE ROAD
    STERLING HEIGHTS, MI
    ZIP 48312
  • Facility Phone: 734 945-2834
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GHAITH M. IBRAHIM
  • NPI Number: 1649752650
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2255539
LAB Type Ambulatory Surgery Center
Facility Name PIONEER ENDOSCOPY & SURGERY CENTER
Street 36401 VAN DYKE ROAD
City STERLING HEIGHTS
State MI
ZIP 48312
Phone 734 945-2834
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Ambulatory Surgery Center
Lab Director GHAITH M. IBRAHIM

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This page was last updated on: 9/29/2025