23D2221103 CLIA NUMBER - CORE PSYCH, PLLC

Laboratory Demographics

  • CLIA Code: 23D2221103
  • Facility Name: CORE PSYCH, PLLC
  • Facility Address: 3815 PELHAM STREET SUITE 13
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 722-4683
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHADY S. SHEBAK
  • NPI Number: 1871069039
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D2221103
LAB Type Physician Office
Facility Name CORE PSYCH, PLLC
Street 3815 PELHAM STREET SUITE 13
City DEARBORN
State MI
ZIP 48124
Phone 313 722-4683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director SHADY S. SHEBAK

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