23D2062556 CLIA NUMBER - EASTBORN CLINIC

Laboratory Demographics

  • CLIA Code: 23D2062556
  • Facility Name: EASTBORN CLINIC
  • Facility Address: 7526 WYOMING STREET SUITE 2
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 834-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIN S. HUBALLAH
  • NPI Number: 1578801080
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2062556
LAB Type Physician Office
Facility Name EASTBORN CLINIC
Street 7526 WYOMING STREET SUITE 2
City DEARBORN
State MI
ZIP 48126
Phone 313 834-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director AMIN S. HUBALLAH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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