23D2299230 CLIA NUMBER - MICHIGAN SURGICAL - UTICA

Laboratory Demographics

  • CLIA Code: 23D2299230
  • Facility Name: MICHIGAN SURGICAL - UTICA
  • Facility Address: 11051 HALL ROAD SUITE 100
    UTICA, MI
    ZIP 48317
  • Facility Phone: 586 500-9222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MITCHELL B. HOLLANDER
  • NPI Number: 1326138033
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 23D2299230
LAB Type Ambulatory Surgery Center
Facility Name MICHIGAN SURGICAL - UTICA
Street 11051 HALL ROAD SUITE 100
City UTICA
State MI
ZIP 48317
Phone 586 500-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Ambulatory Surgery Center
Lab Director MITCHELL B. HOLLANDER

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This page was last updated on: 6/4/2025