23D2289936 CLIA NUMBER - PRIMARY CARE OF MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D2289936
  • Facility Name: PRIMARY CARE OF MICHIGAN
  • Facility Address: 22359 CHERRY HILL STREET
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 406-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD R. SABBAGH
  • NPI Number: 1750999751
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2289936
LAB Type Physician Office
Facility Name PRIMARY CARE OF MICHIGAN
Street 22359 CHERRY HILL STREET
City DEARBORN
State MI
ZIP 48124
Phone 313 406-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2023
Certificate Expiration Date 9/17/2025
Facility Type Physician Office
Lab Director MOHAMMAD R. SABBAGH

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This page was last updated on: 3/20/2025