23D1003010 CLIA NUMBER - DOWNRIVER MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 23D1003010
  • Facility Name: DOWNRIVER MEDICAL ASSOCIATES
  • Facility Address: 2300 BIDDLE AVENUE SUITE 100
    WYANDOTTE, MI
    ZIP 48192
  • Facility Phone: 734 246-5705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHAZWAN A. ATTO
  • NPI Number: 1578553301
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1003010
LAB Type Physician Office
Facility Name DOWNRIVER MEDICAL ASSOCIATES
Street 2300 BIDDLE AVENUE SUITE 100
City WYANDOTTE
State MI
ZIP 48192
Phone 734 246-5705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director GHAZWAN A. ATTO

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