23D2266910 CLIA NUMBER - ELITE PRIME CARE PLLC - CANTON

Laboratory Demographics

  • CLIA Code: 23D2266910
  • Facility Name: ELITE PRIME CARE PLLC - CANTON
  • Facility Address: 8542 N CANTON CENTER ROAD
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 455-8310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMED NASSER
  • NPI Number: 1104542828
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2266910
LAB Type Physician Office
Facility Name ELITE PRIME CARE PLLC - CANTON
Street 8542 N CANTON CENTER ROAD
City CANTON
State MI
ZIP 48187
Phone 734 455-8310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director MOHAMED NASSER

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