23D2074513 CLIA NUMBER - NILOFER NISAR, MD, PLC

Laboratory Demographics

  • CLIA Code: 23D2074513
  • Facility Name: NILOFER NISAR, MD, PLC
  • Facility Address: 34815 W MICHIGAN AVE
    WAYNE, MI
    ZIP 48184
  • Facility Phone: 734 721-4739
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NILOFER NISAR
  • NPI Number: 1922094564
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D2074513
LAB Type Physician Office
Facility Name NILOFER NISAR, MD, PLC
Street 34815 W MICHIGAN AVE
City WAYNE
State MI
ZIP 48184
Phone 734 721-4739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director NILOFER NISAR

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