23D2132048 CLIA NUMBER - YASSIR ATTALLA, PLLC

Laboratory Demographics

  • CLIA Code: 23D2132048
  • Facility Name: YASSIR ATTALLA, PLLC
  • Facility Address: 15450 NORTHLINE SUITE 102
    SOUTHGATE, MI
    ZIP 48195
  • Facility Phone: (734) 720-7270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YASSIR A. ATTALLA
  • NPI Number: 1063625671
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2132048
LAB Type Physician Office
Facility Name YASSIR ATTALLA, PLLC
Street 15450 NORTHLINE SUITE 102
City SOUTHGATE
State MI
ZIP 48195
Phone 7347207270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director YASSIR A. ATTALLA

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This page was last updated on: 5/18/2026