23D0376202 CLIA NUMBER - CRISTO REY FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D0376202
  • Facility Name: CRISTO REY FAMILY HEALTH CENTER
  • Facility Address: 1717 N HIGH STREET
    LANSING, MI
    ZIP 48912
  • Facility Phone: 517 371-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AIMEE E. BROOKENS
  • NPI Number: 1407800931
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 23D0376202
LAB Type Physician Office
Facility Name CRISTO REY FAMILY HEALTH CENTER
Street 1717 N HIGH STREET
City LANSING
State MI
ZIP 48912
Phone 517 371-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director AIMEE E. BROOKENS

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