23D2156521 CLIA NUMBER - VIDA CLINICAL STUDIES

Laboratory Demographics

  • CLIA Code: 23D2156521
  • Facility Name: VIDA CLINICAL STUDIES
  • Facility Address: 24326 W WARREN STREET
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Facility Phone: 313 920-0457
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HISHAM A. ATRISS
  • NPI Number: 1184384224
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 23D2156521
LAB Type Mobile Laboratory
Facility Name VIDA CLINICAL STUDIES
Street 24326 W WARREN STREET
City DEARBORN HEIGHTS
State MI
ZIP 48127
Phone 313 920-0457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Mobile Laboratory
Lab Director HISHAM A. ATRISS

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