23D0694358 CLIA NUMBER - SOUDABEH AHADI

Laboratory Demographics

  • CLIA Code: 23D0694358
  • Facility Name: SOUDABEH AHADI
  • Facility Address: 55 COLE ROAD
    MONROE, MI
    ZIP 48162
  • Facility Phone: 313 242-2022
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SOUDABEH AHADI
  • NPI Number: 1174510275
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 23D0694358
LAB Type Physician Office
Facility Name SOUDABEH AHADI
Street 55 COLE ROAD
City MONROE
State MI
ZIP 48162
Phone 313 242-2022
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director SOUDABEH AHADI

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