23D2206493 CLIA NUMBER - ITEST

Laboratory Demographics

  • CLIA Code: 23D2206493
  • Facility Name: ITEST
  • Facility Address: 14700 FARMINGTON ROAD SUITE 105
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 248 330-7098
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BASHAR YALLDO
  • NPI Number: 1992478382
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2206493
LAB Type Physician Office
Facility Name ITEST
Street 14700 FARMINGTON ROAD SUITE 105
City LIVONIA
State MI
ZIP 48154
Phone 248 330-7098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director BASHAR YALLDO

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