23D2270948 CLIA NUMBER - ALAA PRIMARY CARE P L L C

Laboratory Demographics

  • CLIA Code: 23D2270948
  • Facility Name: ALAA PRIMARY CARE P L L C
  • Facility Address: 1340 S COMMERCE ROAD
    WALLED LAKE, MI
    ZIP 48390
  • Facility Phone: 248 438-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAA HUSSEIN-ALI
  • NPI Number: 1356000715
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2270948
LAB Type Physician Office
Facility Name ALAA PRIMARY CARE P L L C
Street 1340 S COMMERCE ROAD
City WALLED LAKE
State MI
ZIP 48390
Phone 248 438-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director ALAA HUSSEIN-ALI

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