23D2022184 CLIA NUMBER - MEDICAL PLAZA DIAGNOSTIC LLC

Laboratory Demographics

  • CLIA Code: 23D2022184
  • Facility Name: MEDICAL PLAZA DIAGNOSTIC LLC
  • Facility Address: 3271 CARLETON ROAD
    HILLSDALE, MI
    ZIP 49242
  • Facility Phone: 517 437-3879
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARIQ H. ABDELKARIM
  • NPI Number: 1235553025
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D2022184
LAB Type Physician Office
Facility Name MEDICAL PLAZA DIAGNOSTIC LLC
Street 3271 CARLETON ROAD
City HILLSDALE
State MI
ZIP 49242
Phone 517 437-3879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director TARIQ H. ABDELKARIM

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