23D2310712 CLIA NUMBER - PARK PLAZA MD PC

Laboratory Demographics

  • CLIA Code: 23D2310712
  • Facility Name: PARK PLAZA MD PC
  • Facility Address: G1071 N BALLENGER HIGHWAY SUITE 206
    FLINT, MI
    ZIP 48504
  • Facility Phone: 810 234-1651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMED A. ARIF
  • NPI Number: 1790545390
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2310712
LAB Type Physician Office
Facility Name PARK PLAZA MD PC
Street G1071 N BALLENGER HIGHWAY SUITE 206
City FLINT
State MI
ZIP 48504
Phone 810 234-1651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director AHMED A. ARIF

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