23D0920345 CLIA NUMBER - MAHMOUD ELGHOROURY MD

Laboratory Demographics

  • CLIA Code: 23D0920345
  • Facility Name: MAHMOUD ELGHOROURY MD
  • Facility Address: 2502 ROCHESTER ROAD
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 810 852-5177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHMOUD ELGHOROURY MD
  • NPI Number: 1124048848
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0920345
LAB Type Physician Office
Facility Name MAHMOUD ELGHOROURY MD
Street 2502 ROCHESTER ROAD
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 810 852-5177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director MAHMOUD ELGHOROURY MD

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