23D0719741 CLIA NUMBER - TAWFIQ J HASSAN MD PC DBA T J HASSAN MD PC

Laboratory Demographics

  • CLIA Code: 23D0719741
  • Facility Name: TAWFIQ J HASSAN MD PC DBA T J HASSAN MD PC
  • Facility Address: 1331 MONROE STREET SUITE 100
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: (313) 565-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAWFIQ J. HASSAN
  • NPI Number: 1144290909
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0719741
LAB Type Physician Office
Facility Name TAWFIQ J HASSAN MD PC DBA T J HASSAN MD PC
Street 1331 MONROE STREET SUITE 100
City DEARBORN
State MI
ZIP 48124
Phone 3135651111
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 TAWFIQ J. HASSAN

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This page was last updated on: 6/29/2026