23D1035028 CLIA NUMBER - CAMPUS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D1035028
  • Facility Name: CAMPUS HEALTH CENTER
  • Facility Address: 5285 ANTHONY WAYNE DRIVE
    DETROIT, MI
    ZIP 48202
  • Facility Phone: 313 577-5041
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: MARIE E. MATEO
  • NPI Number: 1023180106
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 23D1035028
LAB Type School/Student Health Service
Facility Name CAMPUS HEALTH CENTER
Street 5285 ANTHONY WAYNE DRIVE
City DETROIT
State MI
ZIP 48202
Phone 313 577-5041
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type School/Student Health Service
Lab Director MARIE E. MATEO

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