23D1079099 CLIA NUMBER - METRO MEDICAL PRACTICE PC

Laboratory Demographics

  • CLIA Code: 23D1079099
  • Facility Name: METRO MEDICAL PRACTICE PC
  • Facility Address: 11533 CONANT
    HAMTRAMCK, MI
    ZIP 48212
  • Facility Phone: 248 524-9085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESA JASZCZAK
  • NPI Number: 1427096064
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1079099
LAB Type Physician Office
Facility Name METRO MEDICAL PRACTICE PC
Street 11533 CONANT
City HAMTRAMCK
State MI
ZIP 48212
Phone 248 524-9085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director TERESA JASZCZAK

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