23D2299147 CLIA NUMBER - PRIMEDICAL URGENT CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D2299147
  • Facility Name: PRIMEDICAL URGENT CARE PLLC
  • Facility Address: 17751 E WARREN AVENUE
    DETROIT, MI
    ZIP 48224
  • Facility Phone: 313 885-6833
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: AHMAD AHMAD
  • NPI Number: 1306313515
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2299147
LAB Type Other - URGENT CARE
Facility Name PRIMEDICAL URGENT CARE PLLC
Street 17751 E WARREN AVENUE
City DETROIT
State MI
ZIP 48224
Phone 313 885-6833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Other - URGENT CARE
Lab Director AHMAD AHMAD

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