23D1008952 CLIA NUMBER - SAMINA ANSAR GHAZI MD PC

Laboratory Demographics

  • CLIA Code: 23D1008952
  • Facility Name: SAMINA ANSAR GHAZI MD PC
  • Facility Address: 33110 W 12 MILE ROAD
    FARMINGTON HILLS, MI
    ZIP 48334
  • Facility Phone: 248 320-6252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMINA A. GHAZI
  • NPI Number: 1144366758
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1008952
LAB Type Physician Office
Facility Name SAMINA ANSAR GHAZI MD PC
Street 33110 W 12 MILE ROAD
City FARMINGTON HILLS
State MI
ZIP 48334
Phone 248 320-6252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director SAMINA A. GHAZI

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