23D2304358 CLIA NUMBER - ONR 21 PC

Laboratory Demographics

  • CLIA Code: 23D2304358
  • Facility Name: ONR 21 PC
  • Facility Address: 24825 MICHIGAN AVENUE SUITE B
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 565-3365
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR N. RAHAL
  • NPI Number: 1144989260
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2304358
LAB Type Physician Office
Facility Name ONR 21 PC
Street 24825 MICHIGAN AVENUE SUITE B
City DEARBORN
State MI
ZIP 48124
Phone 313 565-3365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director OMAR N. RAHAL

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