23D0368116 CLIA NUMBER - V M D PRIMARY PROVIDERS EASTERN MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D0368116
  • Facility Name: V M D PRIMARY PROVIDERS EASTERN MICHIGAN
  • Facility Address: 17800 NEWBURGH ROAD SUITE 103
    LIVONIA, MI
    ZIP 48152
  • Facility Phone: 734 452-3060
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. YASEEN MOHIUDDIN
  • NPI Number: 1528382991
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D0368116
LAB Type Physician Office
Facility Name V M D PRIMARY PROVIDERS EASTERN MICHIGAN
Street 17800 NEWBURGH ROAD SUITE 103
City LIVONIA
State MI
ZIP 48152
Phone 734 452-3060
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. YASEEN MOHIUDDIN

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