23D2037038 CLIA NUMBER - RICHARD HAMMOUD MD PC

Laboratory Demographics

  • CLIA Code: 23D2037038
  • Facility Name: RICHARD HAMMOUD MD PC
  • Facility Address: 23865 MICHIGAN AVE
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 562-9588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD HAMMOUD
  • NPI Number: 1255330767
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2037038
LAB Type Physician Office
Facility Name RICHARD HAMMOUD MD PC
Street 23865 MICHIGAN AVE
City DEARBORN
State MI
ZIP 48124
Phone 313 562-9588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director RICHARD HAMMOUD

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This page was last updated on: 3/20/2025