23D1030724 CLIA NUMBER - ALI NASSER MD PC

Laboratory Demographics

  • CLIA Code: 23D1030724
  • Facility Name: ALI NASSER MD PC
  • Facility Address: 15120 MICHIGAN AVENUE SUITE A
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 843-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI M. NASSER
  • NPI Number: 1477513158
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1030724
LAB Type Physician Office
Facility Name ALI NASSER MD PC
Street 15120 MICHIGAN AVENUE SUITE A
City DEARBORN
State MI
ZIP 48126
Phone 313 843-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director ALI M. NASSER

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