23D2276890 CLIA NUMBER - UNIVERSAL CARE SURGERY CENTER

Laboratory Demographics

CLIA Number: 23D2276890

Facility Name: UNIVERSAL CARE SURGERY CENTER

Facility Address:
5456 15 MILE ROAD
STERLING HEIGHTS, MI
ZIP 48310
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Facility Phone Number: 248 802-8711

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1689730939

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	23D2276890
LAB Type	Ambulatory Surgery Center
Facility Name	UNIVERSAL CARE SURGERY CENTER
Street	5456 15 MILE ROAD
City	STERLING HEIGHTS
State	MI
ZIP	48310
Phone	248 802-8711
CertificateType	4
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024