23D1022231 CLIA NUMBER - UNA SOURCE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D1022231
  • Facility Name: UNA SOURCE SURGERY CENTER
  • Facility Address: 4550 INVESTMENT DRIVE SUITE 100
    TROY, MI
    ZIP 48098
  • Facility Phone: 248 265-4600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER C. CHAPUT
  • NPI Number: 1649219536
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1022231
LAB Type Ambulatory Surgery Center
Facility Name UNA SOURCE SURGERY CENTER
Street 4550 INVESTMENT DRIVE SUITE 100
City TROY
State MI
ZIP 48098
Phone 248 265-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER C. CHAPUT

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This page was last updated on: 3/20/2025