23D2312586 CLIA NUMBER - 12 MILE SURGERY CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 23D2312586
  • Facility Name: 12 MILE SURGERY CENTER, PLLC
  • Facility Address: 29000 LITTLE MACK SUITE C
    ST CLAIR SHORES, MI
    ZIP 48081
  • Facility Phone: 586 899-4984
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMER M. ALAME
  • NPI Number: 1841059854
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2312586
LAB Type Ambulatory Surgery Center
Facility Name 12 MILE SURGERY CENTER, PLLC
Street 29000 LITTLE MACK SUITE C
City ST CLAIR SHORES
State MI
ZIP 48081
Phone 586 899-4984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Ambulatory Surgery Center
Lab Director AMER M. ALAME

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