23D2326017 CLIA NUMBER - KHADHORY MERCY PLLC

Laboratory Demographics

  • CLIA Code: 23D2326017
  • Facility Name: KHADHORY MERCY PLLC
  • Facility Address: 35200 DEQUINDRE ROAD SUITE 600
    STERLING HEIGHTS, MI
    ZIP 48310
  • Facility Phone: 586 786-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHAZAWAN KASHAT
  • NPI Number: 1205163060
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2326017
LAB Type Physician Office
Facility Name KHADHORY MERCY PLLC
Street 35200 DEQUINDRE ROAD SUITE 600
City STERLING HEIGHTS
State MI
ZIP 48310
Phone 586 786-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director GHAZAWAN KASHAT

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