23D2135935 CLIA NUMBER - WYANDOTTE URGENT CARE PLLC

Laboratory Demographics

  • CLIA Code: 23D2135935
  • Facility Name: WYANDOTTE URGENT CARE PLLC
  • Facility Address: 1768 FORD ROAD
    WYANDOTTE, MI
    ZIP 48192
  • Facility Phone: 734 299-0712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAEL H. DABAJA
  • NPI Number: 1548790959
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2135935
LAB Type Physician Office
Facility Name WYANDOTTE URGENT CARE PLLC
Street 1768 FORD ROAD
City WYANDOTTE
State MI
ZIP 48192
Phone 734 299-0712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Physician Office
Lab Director WAEL H. DABAJA

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