23D1018834 CLIA NUMBER - GHINWA NAKKASH MD AND ENAS NAKKASH, MD

Laboratory Demographics

  • CLIA Code: 23D1018834
  • Facility Name: GHINWA NAKKASH MD AND ENAS NAKKASH, MD
  • Facility Address: 1899 E WATTLES
    TROY, MI
    ZIP 48085
  • Facility Phone: 248 526-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHINWA NAKKASH
  • NPI Number: 1649253311
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1018834
LAB Type Physician Office
Facility Name GHINWA NAKKASH MD AND ENAS NAKKASH, MD
Street 1899 E WATTLES
City TROY
State MI
ZIP 48085
Phone 248 526-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director GHINWA NAKKASH

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