23D2183270 CLIA NUMBER - MY CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 23D2183270
  • Facility Name: MY CLINIC PLLC
  • Facility Address: 4025 MAPLE STREET SUITE B
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 982-7811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIR JUNDI
  • NPI Number: 1689216699
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2183270
LAB Type Physician Office
Facility Name MY CLINIC PLLC
Street 4025 MAPLE STREET SUITE B
City DEARBORN
State MI
ZIP 48126
Phone 313 982-7811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director AMIR JUNDI

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