23D0880831 CLIA NUMBER - JALAL J THWAINEY MD

Laboratory Demographics

  • CLIA Code: 23D0880831
  • Facility Name: JALAL J THWAINEY MD
  • Facility Address: 7106 PARK AVE
    ALLEN PARK, MI
    ZIP 48101
  • Facility Phone: 313 383-3810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JALAL J. THWAINEY
  • NPI Number: 1568432441
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0880831
LAB Type Physician Office
Facility Name JALAL J THWAINEY MD
Street 7106 PARK AVE
City ALLEN PARK
State MI
ZIP 48101
Phone 313 383-3810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JALAL J. THWAINEY

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