23D2011606 CLIA NUMBER - CADILLAC PLACE - MDHHS NHBS

Laboratory Demographics

  • CLIA Code: 23D2011606
  • Facility Name: CADILLAC PLACE - MDHHS NHBS
  • Facility Address: 3044 W GRAND BLVD SUITE 3-300
    DETROIT, MI
    ZIP 48202
  • Facility Phone: 313 310-3739
  • Facility Type: Other - HIV AND HCV RAPID TEST
  • Facility Type: Waiver
  • Lab Director: EMILY HIGGINS
  • NPI Number: 1619985058
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2011606
LAB Type Other - HIV AND HCV RAPID TEST
Facility Name CADILLAC PLACE - MDHHS NHBS
Street 3044 W GRAND BLVD SUITE 3-300
City DETROIT
State MI
ZIP 48202
Phone 313 310-3739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Other - HIV AND HCV RAPID TEST
Lab Director EMILY HIGGINS

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