23D0931799 CLIA NUMBER - DETROIT HEALTH CARE FOR THE HOMELESS

Laboratory Demographics

CLIA Number: 23D0931799

Facility Name: DETROIT HEALTH CARE FOR THE HOMELESS

Facility Address:
15400 W MCNICHOLS
DETROIT, MI
ZIP 48235
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Facility Phone Number: 313 416-4987

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1265037345

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	23D0931799
LAB Type	Federally Qualified Health Center
Facility Name	DETROIT HEALTH CARE FOR THE HOMELESS
Street	15400 W MCNICHOLS
City	DETROIT
State	MI
ZIP	48235
Phone	313 416-4987
CertificateType	3
CertificateEffectiveDate	7/27/2022
CertificateExpirationDate	7/26/2024
FacilityType	PPMP

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