23D2089885 CLIA NUMBER - HADDAD INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 23D2089885
  • Facility Name: HADDAD INTERNAL MEDICINE
  • Facility Address: 9720 DIX SUITE B
    DEARBORN, MI
    ZIP 48120
  • Facility Phone: 313 843-1973
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAED J. HADDAD
  • NPI Number: 1518369412
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2089885
LAB Type Physician Office
Facility Name HADDAD INTERNAL MEDICINE
Street 9720 DIX SUITE B
City DEARBORN
State MI
ZIP 48120
Phone 313 843-1973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director RAED J. HADDAD

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