23D2240459 CLIA NUMBER - ABUL H M SHAMSUDDOHA

Laboratory Demographics

  • CLIA Code: 23D2240459
  • Facility Name: ABUL H M SHAMSUDDOHA
  • Facility Address: 43750 WOODWARD AVENUE SUITE 102
    BLOOMFIELD HILLS, MI
    ZIP 48302
  • Facility Phone: 248 652-9450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABDUL SHAMSUDDOHA
  • NPI Number: 1265503031
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2240459
LAB Type Physician Office
Facility Name ABUL H M SHAMSUDDOHA
Street 43750 WOODWARD AVENUE SUITE 102
City BLOOMFIELD HILLS
State MI
ZIP 48302
Phone 248 652-9450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director ABDUL SHAMSUDDOHA

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