23D0367206 CLIA NUMBER - DEARBORN FAMILY CLINIC PC

Laboratory Demographics

  • CLIA Code: 23D0367206
  • Facility Name: DEARBORN FAMILY CLINIC PC
  • Facility Address: 3133 S TELEGRAPH ROAD
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 565-6566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD M. WRIGHT
  • NPI Number: 1013928035
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0367206
LAB Type Physician Office
Facility Name DEARBORN FAMILY CLINIC PC
Street 3133 S TELEGRAPH ROAD
City DEARBORN
State MI
ZIP 48124
Phone 313 565-6566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director HOWARD M. WRIGHT

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