23D2081227 CLIA NUMBER - THAMER MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 23D2081227
  • Facility Name: THAMER MEDICAL PLLC
  • Facility Address: 2040 MONROE STREET SUITE 206
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 757-7647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAWAD A. THAMER
  • NPI Number: 1194135186
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2081227
LAB Type Physician Office
Facility Name THAMER MEDICAL PLLC
Street 2040 MONROE STREET SUITE 206
City DEARBORN
State MI
ZIP 48124
Phone 313 757-7647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Physician Office
Lab Director JAWAD A. THAMER

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