23D2109318 CLIA NUMBER - FIRST CHOICE MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 23D2109318
  • Facility Name: FIRST CHOICE MEDICAL GROUP PLLC
  • Facility Address: 23455 MICHIGAN AVENUE SUITE B
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 757-7207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI HASSAN
  • NPI Number: 1750769394
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2109318
LAB Type Physician Office
Facility Name FIRST CHOICE MEDICAL GROUP PLLC
Street 23455 MICHIGAN AVENUE SUITE B
City DEARBORN
State MI
ZIP 48124
Phone 313 757-7207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director ALI HASSAN

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