23D1083359 CLIA NUMBER - KHALID RAO MD MUNZER SAMAD MD

Laboratory Demographics

  • CLIA Code: 23D1083359
  • Facility Name: KHALID RAO MD MUNZER SAMAD MD
  • Facility Address: 26411 SOUTHFIELD ROAD
    LATHRUP VILLAGE, MI
    ZIP 48076
  • Facility Phone: 248 552-8195
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUNZER SAMAD
  • NPI Number: 1366421273
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1083359
LAB Type Physician Office
Facility Name KHALID RAO MD MUNZER SAMAD MD
Street 26411 SOUTHFIELD ROAD
City LATHRUP VILLAGE
State MI
ZIP 48076
Phone 248 552-8195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director MUNZER SAMAD

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