23D2328097 CLIA NUMBER - TRINITY HEALTH IHA MEDICAL GROUP LIFESTYLE MEDICINE PRIMARY CARE EAST BRIGHTON

Laboratory Demographics

  • CLIA Code: 23D2328097
  • Facility Name: TRINITY HEALTH IHA MEDICAL GROUP LIFESTYLE MEDICINE PRIMARY CARE EAST BRIGHTON
  • Facility Address: 5505 S OLD US 23 SUITE 100
    BRIGHTON, MI
    ZIP 48116
  • Facility Phone: 734 887-7888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALBERTO NACIF
  • NPI Number: 1639182496
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2328097
LAB Type Physician Office
Facility Name TRINITY HEALTH IHA MEDICAL GROUP LIFESTYLE MEDICINE PRIMARY CARE EAST BRIGHTON
Street 5505 S OLD US 23 SUITE 100
City BRIGHTON
State MI
ZIP 48116
Phone 734 887-7888
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 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director ALBERTO NACIF

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