23D2148904 CLIA NUMBER - WYOMING STREET DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2148904
  • Facility Name: WYOMING STREET DIALYSIS
  • Facility Address: 13945 WYOMING ST
    DETROIT, MI
    ZIP 48238
  • Facility Phone: 313 931-5230
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHADI Y. SAAD
  • NPI Number: 1740789536
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2148904
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WYOMING STREET DIALYSIS
Street 13945 WYOMING ST
City DETROIT
State MI
ZIP 48238
Phone 313 931-5230
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 End Stage Renal Disease Dialysis Facility
Lab Director CHADI Y. SAAD

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