23D2287660 CLIA NUMBER - PREMIER PRIMARY CARE AND WELLNESS

Laboratory Demographics

  • CLIA Code: 23D2287660
  • Facility Name: PREMIER PRIMARY CARE AND WELLNESS
  • Facility Address: 912 CENTENNIAL WAY SUITE 300
    LANSING, MI
    ZIP 48917
  • Facility Phone: 517 705-3910
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BREANNA L. O KEEFE
  • NPI Number: 1518741982
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2287660
LAB Type Physician Office
Facility Name PREMIER PRIMARY CARE AND WELLNESS
Street 912 CENTENNIAL WAY SUITE 300
City LANSING
State MI
ZIP 48917
Phone 517 705-3910
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director BREANNA L. O KEEFE

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