23D0872610 CLIA NUMBER - FAIZ W MANSOUR MD

Laboratory Demographics

  • CLIA Code: 23D0872610
  • Facility Name: FAIZ W MANSOUR MD
  • Facility Address: 10 W SQUARE LAKE SUITE 301
    BLOOMFIELD HILLS, MI
    ZIP 48302
  • Facility Phone: (248) 452-9500
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: FAIZ W. MANSOUR
  • NPI Number: 1508974999
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0872610
LAB Type Independent
Facility Name FAIZ W MANSOUR MD
Street 10 W SQUARE LAKE SUITE 301
City BLOOMFIELD HILLS
State MI
ZIP 48302
Phone 2484529500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2026
Certificate Expiration Date 7/19/2028
Facility Type Independent
Lab Director FAIZ W. MANSOUR

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