23D2148902 CLIA NUMBER - DOCTORS HOME LINE PLLC

Laboratory Demographics

  • CLIA Code: 23D2148902
  • Facility Name: DOCTORS HOME LINE PLLC
  • Facility Address: 30500 VAN DYKE AVE SUITE 203
    WARREN, MI
    ZIP 48093
  • Facility Phone: 248 480-9066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHMMED Y. AL-SHIHABI
  • NPI Number: 1477059087
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2148902
LAB Type Physician Office
Facility Name DOCTORS HOME LINE PLLC
Street 30500 VAN DYKE AVE SUITE 203
City WARREN
State MI
ZIP 48093
Phone 248 480-9066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director MOHMMED Y. AL-SHIHABI

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This page was last updated on: 3/20/2025