23D2111723 CLIA NUMBER - ZAKWAN MAHJOUB MD FACC

Laboratory Demographics

  • CLIA Code: 23D2111723
  • Facility Name: ZAKWAN MAHJOUB MD FACC
  • Facility Address: 811 SOUTH BLVD E SUITE 105
    ROCHESTER HILLS, MI
    ZIP 48307
  • Facility Phone: 248 710-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZAKWAN MAHJOUB
  • NPI Number: 1316916729
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2111723
LAB Type Physician Office
Facility Name ZAKWAN MAHJOUB MD FACC
Street 811 SOUTH BLVD E SUITE 105
City ROCHESTER HILLS
State MI
ZIP 48307
Phone 248 710-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director ZAKWAN MAHJOUB

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