23D2006434 CLIA NUMBER - MICHIGAN INSTITUTE OF PAIN AND HEADACHE

Laboratory Demographics

  • CLIA Code: 23D2006434
  • Facility Name: MICHIGAN INSTITUTE OF PAIN AND HEADACHE
  • Facility Address: 21751 W 11 MILE ROAD SUITE 215
    SOUTHFIELD, MI
    ZIP 48076
  • Facility Phone: 248 212-0256
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAZIH S. ISKANDER
  • NPI Number: 1609077783
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2006434
LAB Type Physician Office
Facility Name MICHIGAN INSTITUTE OF PAIN AND HEADACHE
Street 21751 W 11 MILE ROAD SUITE 215
City SOUTHFIELD
State MI
ZIP 48076
Phone 248 212-0256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director NAZIH S. ISKANDER

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