23D1071126 CLIA NUMBER - COVENANT COMMUNITY CARE INC

Laboratory Demographics

  • CLIA Code: 23D1071126
  • Facility Name: COVENANT COMMUNITY CARE INC
  • Facility Address: 5716 MICHIGAN AVE, STE 1100
    DETROIT, MI
    ZIP 48210
  • Facility Phone: 313 554-0485
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SCOTT STRYD
  • NPI Number: 1073834818
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1071126
LAB Type Federally Qualified Health Center
Facility Name COVENANT COMMUNITY CARE INC
Street 5716 MICHIGAN AVE, STE 1100
City DETROIT
State MI
ZIP 48210
Phone 313 554-0485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Federally Qualified Health Center
Lab Director SCOTT STRYD

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