23D1000464 CLIA NUMBER - MAAN EKKAH MD PC

Laboratory Demographics

  • CLIA Code: 23D1000464
  • Facility Name: MAAN EKKAH MD PC
  • Facility Address: 8355 HIGHLAND ROAD
    WHITE LAKE, MI
    ZIP 48386
  • Facility Phone: 248 666-6005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAAN EKKAH
  • NPI Number: 1740836444
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1000464
LAB Type Physician Office
Facility Name MAAN EKKAH MD PC
Street 8355 HIGHLAND ROAD
City WHITE LAKE
State MI
ZIP 48386
Phone 248 666-6005
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 MAAN EKKAH

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