23D0368687 CLIA NUMBER - RIVERSIDE OB GYN

Laboratory Demographics

  • CLIA Code: 23D0368687
  • Facility Name: RIVERSIDE OB GYN
  • Facility Address: 2275 W JEFFERSON
    TRENTON, MI
    ZIP 48183
  • Facility Phone: 734 675-7210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMAD AL-JERDI
  • NPI Number: 1699724559
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0368687
LAB Type Physician Office
Facility Name RIVERSIDE OB GYN
Street 2275 W JEFFERSON
City TRENTON
State MI
ZIP 48183
Phone 734 675-7210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director AHMAD AL-JERDI

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