23D1056364 CLIA NUMBER - HENRY FORD HEALTH HEART AND VASCULAR - DEARBORN

Laboratory Demographics

  • CLIA Code: 23D1056364
  • Facility Name: HENRY FORD HEALTH HEART AND VASCULAR - DEARBORN
  • Facility Address: 20200 OUTER DRIVE
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 633-1088
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SAMER SALKA
  • NPI Number: 1083854095
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1056364
LAB Type Community Clinic
Facility Name HENRY FORD HEALTH HEART AND VASCULAR - DEARBORN
Street 20200 OUTER DRIVE
City DEARBORN
State MI
ZIP 48124
Phone 313 633-1088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Community Clinic
Lab Director SAMER SALKA

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