23D1012781 CLIA NUMBER - FAWAZ HADDAD, MD

Laboratory Demographics

  • CLIA Code: 23D1012781
  • Facility Name: FAWAZ HADDAD, MD
  • Facility Address: 8273 S SAGINAW ST STE C
    GRAND BLANC, MI
    ZIP 48439
  • Facility Phone: 810 695-6565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAWAZ E. HADDAD
  • NPI Number: 1194819029
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D1012781
LAB Type Physician Office
Facility Name FAWAZ HADDAD, MD
Street 8273 S SAGINAW ST STE C
City GRAND BLANC
State MI
ZIP 48439
Phone 810 695-6565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director FAWAZ E. HADDAD

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