23D0933214 CLIA NUMBER - PEDIATRIC CARE CENTER

Laboratory Demographics

  • CLIA Code: 23D0933214
  • Facility Name: PEDIATRIC CARE CENTER
  • Facility Address: 9720 DIX
    DEARBORN, MI
    ZIP 48120
  • Facility Phone: 313 841-1680
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIRIES HADDAD MD
  • NPI Number: 1932229382
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0933214
LAB Type Physician Office
Facility Name PEDIATRIC CARE CENTER
Street 9720 DIX
City DEARBORN
State MI
ZIP 48120
Phone 313 841-1680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director JIRIES HADDAD MD

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