23D1074492 CLIA NUMBER - SINAI GRACE PRIMARY CARE CENTER

Laboratory Demographics

CLIA Number: 23D1074492

Facility Name: SINAI GRACE PRIMARY CARE CENTER

Facility Address:
6001 WEST OUTER DRIVE SUITE 114
DETROIT, MI
ZIP 48235
Get Directions

Facility Phone Number: 313 966-9444

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1407059397

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1074492
LAB Type	Physician Office
Facility Name	SINAI GRACE PRIMARY CARE CENTER
Street	6001 WEST OUTER DRIVE SUITE 114
City	DETROIT
State	MI
ZIP	48235
Phone	313 966-9444
CertificateType	3
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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