23D1054583 CLIA NUMBER - HAMTRAMCK COMMUNITY MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 23D1054583
  • Facility Name: HAMTRAMCK COMMUNITY MEDICAL CENTER PC
  • Facility Address: 9740 CONANT SUITE 2
    HAMTRAMCK, MI
    ZIP 48212
  • Facility Phone: 313 265-3140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REDWAN UDDIN
  • NPI Number: 1508974387
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 23D1054583
LAB Type Physician Office
Facility Name HAMTRAMCK COMMUNITY MEDICAL CENTER PC
Street 9740 CONANT SUITE 2
City HAMTRAMCK
State MI
ZIP 48212
Phone 313 265-3140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director REDWAN UDDIN

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