23D1052401 CLIA NUMBER - COMMUNITY ACTION AGENCY

Laboratory Demographics

  • CLIA Code: 23D1052401
  • Facility Name: COMMUNITY ACTION AGENCY
  • Facility Address: 400 W SOUTH STREET
    ADRIAN, MI
    ZIP 49221
  • Facility Phone: 517 539-8317
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TOBY BERRY
  • NPI Number: 1942446927
  • Taxonomy: 133NN1002X - Nutritionist

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CLIA Record

Field Name Field Value
CLIA Number 23D1052401
LAB Type Community Clinic
Facility Name COMMUNITY ACTION AGENCY
Street 400 W SOUTH STREET
City ADRIAN
State MI
ZIP 49221
Phone 517 539-8317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Community Clinic
Lab Director TOBY BERRY

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