23D0963374 CLIA NUMBER - JADWIGA MALACZYNSKI, MD, PC

Laboratory Demographics

  • CLIA Code: 23D0963374
  • Facility Name: JADWIGA MALACZYNSKI, MD, PC
  • Facility Address: 3120 CARPENTER AVENUE, SUITE 311
    HAMTRAMCK, MI
    ZIP 48212
  • Facility Phone: 313 369-3365
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JADWIGA K. MALACZYNSKI
  • NPI Number: 1730271107
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0963374
LAB Type Physician Office
Facility Name JADWIGA MALACZYNSKI, MD, PC
Street 3120 CARPENTER AVENUE, SUITE 311
City HAMTRAMCK
State MI
ZIP 48212
Phone 313 369-3365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director JADWIGA K. MALACZYNSKI

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