23D2111753 CLIA NUMBER - SPARTAN SURGICAL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 23D2111753
  • Facility Name: SPARTAN SURGICAL ASSOCIATES LLC
  • Facility Address: 24530 MICHIGAN AVENUE
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 681-5300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMSEY HAMMOUD
  • NPI Number: 1144659467
  • Taxonomy: 207YX0905X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 23D2111753
LAB Type Physician Office
Facility Name SPARTAN SURGICAL ASSOCIATES LLC
Street 24530 MICHIGAN AVENUE
City DEARBORN
State MI
ZIP 48124
Phone 313 681-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director RAMSEY HAMMOUD

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