23D2106078 CLIA NUMBER - HEALTH EMERGENCY LIFELINE PROGRAMS

Laboratory Demographics

CLIA Number: 23D2106078

Facility Name: HEALTH EMERGENCY LIFELINE PROGRAMS

Facility Address:
1726 HOWARD STREET
DETROIT, MI
ZIP 48216
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Facility Phone Number: 313 832-3300

Facility Type: Other - COMM BASED ORGANIZATION

Certificate Type: Waiver

NPI Number: 1841511706

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2106078
LAB Type	Other - COMM BASED ORGANIZATION
Facility Name	HEALTH EMERGENCY LIFELINE PROGRAMS
Street	1726 HOWARD STREET
City	DETROIT
State	MI
ZIP	48216
Phone	313 832-3300
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

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