23D2248896 CLIA NUMBER - WEST DEARBORN URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2248896
  • Facility Name: WEST DEARBORN URGENT CARE
  • Facility Address: 2421 MONROE STREET SUITE 102
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 419 481-1945
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHATTAS ALKHOURY
  • NPI Number: 1124788666
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2248896
LAB Type Physician Office
Facility Name WEST DEARBORN URGENT CARE
Street 2421 MONROE STREET SUITE 102
City DEARBORN
State MI
ZIP 48124
Phone 419 481-1945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director GHATTAS ALKHOURY

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