23D2294481 CLIA NUMBER - ALI H MAHMOOD PLLC

Laboratory Demographics

  • CLIA Code: 23D2294481
  • Facility Name: ALI H MAHMOOD PLLC
  • Facility Address: 9850 HAGGERTY ROAD
    VAN BUREN TWP, MI
    ZIP 48111
  • Facility Phone: 734 699-3080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI H. MAHMOOD
  • NPI Number: 1265954473
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2294481
LAB Type Physician Office
Facility Name ALI H MAHMOOD PLLC
Street 9850 HAGGERTY ROAD
City VAN BUREN TWP
State MI
ZIP 48111
Phone 734 699-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director ALI H. MAHMOOD

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