23D2268704 CLIA NUMBER - MOUND URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2268704
  • Facility Name: MOUND URGENT CARE
  • Facility Address: 32100 MOUND ROAD
    WARREN, MI
    ZIP 48092
  • Facility Phone: 586 243-9404
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: FADI DEMASHKIEH
  • NPI Number: 1063159630
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2268704
LAB Type Other - URGENT CARE
Facility Name MOUND URGENT CARE
Street 32100 MOUND ROAD
City WARREN
State MI
ZIP 48092
Phone 586 243-9404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Other - URGENT CARE
Lab Director FADI DEMASHKIEH

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