23D0719225 CLIA NUMBER - RIVER OAKS PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D0719225
  • Facility Name: RIVER OAKS PRIMARY CARE PLLC
  • Facility Address: 20211 ANN ARBOR TRAIL
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Facility Phone: 313 336-4444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: REDWAN ASBAHI
  • NPI Number: 1518185826
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0719225
LAB Type Physician Office
Facility Name RIVER OAKS PRIMARY CARE PLLC
Street 20211 ANN ARBOR TRAIL
City DEARBORN HEIGHTS
State MI
ZIP 48127
Phone 313 336-4444
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 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director REDWAN ASBAHI

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