23D2303375 CLIA NUMBER - DMC CARDIOLOGY SPECIALTY SERVICES

Laboratory Demographics

  • CLIA Code: 23D2303375
  • Facility Name: DMC CARDIOLOGY SPECIALTY SERVICES
  • Facility Address: 311 MACK AVENUE
    DETROIT, MI
    ZIP 48201
  • Facility Phone: 313 832-0650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHADI ALRAIES
  • NPI Number: 1144477035
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D2303375
LAB Type Physician Office
Facility Name DMC CARDIOLOGY SPECIALTY SERVICES
Street 311 MACK AVENUE
City DETROIT
State MI
ZIP 48201
Phone 313 832-0650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director CHADI ALRAIES

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