23D0366244 CLIA NUMBER - ELIAS G GENNAOUI MD PC

Laboratory Demographics

CLIA Number: 23D0366244

Facility Name: ELIAS G GENNAOUI MD PC

Facility Address:
7445 ALLEN ROAD, SUITE 260
ALLEN PARK, MI
ZIP 48101
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Facility Phone Number: 313 386-3930

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1316917917

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	23D0366244
LAB Type	Physician Office
Facility Name	ELIAS G GENNAOUI MD PC
Street	7445 ALLEN ROAD, SUITE 260
City	ALLEN PARK
State	MI
ZIP	48101
Phone	313 386-3930
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024