23D2041365 CLIA NUMBER - ODYSSEY HEALTHCARE HOLDING COMPANY DBA HEARTLAND HOSPICE FLINT

Laboratory Demographics

  • CLIA Code: 23D2041365
  • Facility Name: ODYSSEY HEALTHCARE HOLDING COMPANY DBA HEARTLAND HOSPICE FLINT
  • Facility Address: 3031 AIRPARK DRIVE NORTH
    FLINT, MI
    ZIP 48507
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1346295813
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2041365
LAB Type Hospice
Facility Name ODYSSEY HEALTHCARE HOLDING COMPANY DBA HEARTLAND HOSPICE FLINT
Street 3031 AIRPARK DRIVE NORTH
City FLINT
State MI
ZIP 48507
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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