23D2046929 CLIA NUMBER - FAIRVIEW PATHOLOGY

Laboratory Demographics

  • CLIA Code: 23D2046929
  • Facility Name: FAIRVIEW PATHOLOGY
  • Facility Address: 17000 EXECUTIVE PLAZA SUITE 202
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 248 495-9750
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RABEI W. BDEIR
  • NPI Number: 1487753174
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 23D2046929
LAB Type Physician Office
Facility Name FAIRVIEW PATHOLOGY
Street 17000 EXECUTIVE PLAZA SUITE 202
City DEARBORN
State MI
ZIP 48126
Phone 248 495-9750
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director RABEI W. BDEIR

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