23D0370044 CLIA NUMBER - DETROIT COMMUNITY HEALTH CONNECTION INC

Laboratory Demographics

CLIA Number: 23D0370044

Facility Name: DETROIT COMMUNITY HEALTH CONNECTION INC

Facility Address:
13901 E JEFFERSON AVENUE
DETROIT, MI
ZIP 48215
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Facility Phone Number: 313 821-2591

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

CLIA Record

Field Name Field Value
CLIA Number 23D0370044
LAB Type Federally Qualified Health Center
Facility Name DETROIT COMMUNITY HEALTH CONNECTION INC
Street 13901 E JEFFERSON AVENUE
City DETROIT
State MI
ZIP 48215
Phone 313 821-2591
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024