23D2318760 CLIA NUMBER - MICHIGAN HEALTHCARE PROFESSIONAL, PC MDWELL DETROIT

Laboratory Demographics

  • CLIA Code: 23D2318760
  • Facility Name: MICHIGAN HEALTHCARE PROFESSIONAL, PC MDWELL DETROIT
  • Facility Address: 16551 W WARREN AVENUE
    DETROIT, MI
    ZIP 48228
  • Facility Phone: 313 584-3624
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WASSIM YOUNES
  • NPI Number: 1154173185
  • Taxonomy: 374U00000X - Home Health Aide

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2318760
LAB Type Physician Office
Facility Name MICHIGAN HEALTHCARE PROFESSIONAL, PC MDWELL DETROIT
Street 16551 W WARREN AVENUE
City DETROIT
State MI
ZIP 48228
Phone 313 584-3624
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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