23D1034749 CLIA NUMBER - SCHAEFER MEDICAL CENTER DEARBORN PLC

Laboratory Demographics

  • CLIA Code: 23D1034749
  • Facility Name: SCHAEFER MEDICAL CENTER DEARBORN PLC
  • Facility Address: 5245 SCHAEFER ROAD SUITE A
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 624-0000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NESRENE GHANI
  • NPI Number: 1790840379
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1034749
LAB Type Physician Office
Facility Name SCHAEFER MEDICAL CENTER DEARBORN PLC
Street 5245 SCHAEFER ROAD SUITE A
City DEARBORN
State MI
ZIP 48126
Phone 313 624-0000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director NESRENE GHANI

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