23D2158049 CLIA NUMBER - FASTCAREMD URGENT CARE PC

Laboratory Demographics

  • CLIA Code: 23D2158049
  • Facility Name: FASTCAREMD URGENT CARE PC
  • Facility Address: 27250 CHERRY HILL ROAD
    DEARBORN HEIGHTS, MI
    ZIP 48127
  • Facility Phone: 313 443-7999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODWAN M. FADLALLAH
  • NPI Number: 1285110312
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2158049
LAB Type Physician Office
Facility Name FASTCAREMD URGENT CARE PC
Street 27250 CHERRY HILL ROAD
City DEARBORN HEIGHTS
State MI
ZIP 48127
Phone 313 443-7999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director RODWAN M. FADLALLAH

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