23D2147260 CLIA NUMBER - PGH MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 23D2147260
  • Facility Name: PGH MEDICAL GROUP PC
  • Facility Address: 461 WEST HURON
    PONTIAC, MI
    ZIP 48341
  • Facility Phone: 248 857-6736
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMED G. SALEH
  • NPI Number: 1649799669
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2147260
LAB Type Physician Office
Facility Name PGH MEDICAL GROUP PC
Street 461 WEST HURON
City PONTIAC
State MI
ZIP 48341
Phone 248 857-6736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director MOHAMED G. SALEH

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