23D2132309 CLIA NUMBER - SALEM MEDICAL P C

Laboratory Demographics

  • CLIA Code: 23D2132309
  • Facility Name: SALEM MEDICAL P C
  • Facility Address: 28111 HOOVER ROAD SUITE 5 A
    WARREN, MI
    ZIP 48093
  • Facility Phone: 586 854-0098
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARAH K. SALEM
  • NPI Number: 1780118497
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2132309
LAB Type Physician Office
Facility Name SALEM MEDICAL P C
Street 28111 HOOVER ROAD SUITE 5 A
City WARREN
State MI
ZIP 48093
Phone 586 854-0098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director FARAH K. SALEM

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