23D0363158 CLIA NUMBER - ISIS HANNA MD

Laboratory Demographics

  • CLIA Code: 23D0363158
  • Facility Name: ISIS HANNA MD
  • Facility Address: 22745 KELLY
    EASTPOINTE, MI
    ZIP 48021
  • Facility Phone: 586 771-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISIS HANNA
  • NPI Number: 1225051428
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0363158
LAB Type Physician Office
Facility Name ISIS HANNA MD
Street 22745 KELLY
City EASTPOINTE
State MI
ZIP 48021
Phone 586 771-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ISIS HANNA

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