23D2303355 CLIA NUMBER - ER DOC URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2303355
  • Facility Name: ER DOC URGENT CARE
  • Facility Address: 3677 FORT STREET
    LINCOLN PARK, MI
    ZIP 48146
  • Facility Phone: (313) 515-6507
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WASFEH A. MUSHEINESH
  • NPI Number: 1083461370
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2303355
LAB Type Physician Office
Facility Name ER DOC URGENT CARE
Street 3677 FORT STREET
City LINCOLN PARK
State MI
ZIP 48146
Phone 3135156507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2026
Certificate Expiration Date 4/23/2028
Facility Type Physician Office
Lab Director WASFEH A. MUSHEINESH

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This page was last updated on: 5/18/2026