23D2318759 CLIA NUMBER - MICHIGAN HEALTHCARE PROFESSIONAL, PC MDWELL CANTON

Laboratory Demographics

  • CLIA Code: 23D2318759
  • Facility Name: MICHIGAN HEALTHCARE PROFESSIONAL, PC MDWELL CANTON
  • Facility Address: 5958 N CANTON CENTRE ROAD SUITE 200
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 540-2003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WASSIM YOUNES
  • NPI Number: 1548730435
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 23D2318759
LAB Type Physician Office
Facility Name MICHIGAN HEALTHCARE PROFESSIONAL, PC MDWELL CANTON
Street 5958 N CANTON CENTRE ROAD SUITE 200
City CANTON
State MI
ZIP 48187
Phone 734 540-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director WASSIM YOUNES

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