23D2180959 CLIA NUMBER - IM CONSULTANT PLLC

Laboratory Demographics

  • CLIA Code: 23D2180959
  • Facility Name: IM CONSULTANT PLLC
  • Facility Address: 17751 E WARREN AVENUE
    DETROIT, MI
    ZIP 48224
  • Facility Phone: 586 718-9090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMAD M. AHMAD
  • NPI Number: 1023644242
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2180959
LAB Type Physician Office
Facility Name IM CONSULTANT PLLC
Street 17751 E WARREN AVENUE
City DETROIT
State MI
ZIP 48224
Phone 586 718-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director AHMAD M. AHMAD

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This page was last updated on: 6/4/2025