23D0372837 CLIA NUMBER - DAVISON MEDICAL PRACTICE PLC

Laboratory Demographics

  • CLIA Code: 23D0372837
  • Facility Name: DAVISON MEDICAL PRACTICE PLC
  • Facility Address: 1260 N IRISH RD SUITE B
    DAVISON, MI
    ZIP 48423
  • Facility Phone: 810 653-0899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALWA S. MOHAMEDAHMED
  • NPI Number: 1598258105
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0372837
LAB Type Physician Office
Facility Name DAVISON MEDICAL PRACTICE PLC
Street 1260 N IRISH RD SUITE B
City DAVISON
State MI
ZIP 48423
Phone 810 653-0899
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 SALWA S. MOHAMEDAHMED

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