23D1093973 CLIA NUMBER - DOWN RIVER CLINIC PC

Laboratory Demographics

  • CLIA Code: 23D1093973
  • Facility Name: DOWN RIVER CLINIC PC
  • Facility Address: 8944 MACOMB ROAD
    GROSSE ILE, MI
    ZIP 48138
  • Facility Phone: 734 675-0705
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MOUNIR K. KHALED
  • NPI Number: 1205073285
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1093973
LAB Type Other
Facility Name DOWN RIVER CLINIC PC
Street 8944 MACOMB ROAD
City GROSSE ILE
State MI
ZIP 48138
Phone 734 675-0705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Other
Lab Director MOUNIR K. KHALED

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