23D2187590 CLIA NUMBER - CANTON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 23D2187590
  • Facility Name: CANTON MEDICAL CLINIC
  • Facility Address: 37662 FORD ROAD
    WESTLAND, MI
    ZIP 48185
  • Facility Phone: 734 238-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIDA LATIF
  • NPI Number: 1053942060
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2187590
LAB Type Physician Office
Facility Name CANTON MEDICAL CLINIC
Street 37662 FORD ROAD
City WESTLAND
State MI
ZIP 48185
Phone 734 238-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director NIDA LATIF

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