23D0928329 CLIA NUMBER - SLEMAN A KHOURY M D

Laboratory Demographics

  • CLIA Code: 23D0928329
  • Facility Name: SLEMAN A KHOURY M D
  • Facility Address: 15125 NORTHLINE ROAD
    SOUTHGATE, MI
    ZIP 48195
  • Facility Phone: 313 282-3138
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SLEMAN A. KHOURY
  • NPI Number: 1578543849
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0928329
LAB Type Physician Office
Facility Name SLEMAN A KHOURY M D
Street 15125 NORTHLINE ROAD
City SOUTHGATE
State MI
ZIP 48195
Phone 313 282-3138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2023
Certificate Expiration Date 5/13/2025
Facility Type Physician Office
Lab Director SLEMAN A. KHOURY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025