23D2106133 CLIA NUMBER - FLINT ODYSSEY HOUSE INC

Laboratory Demographics

  • CLIA Code: 23D2106133
  • Facility Name: FLINT ODYSSEY HOUSE INC
  • Facility Address: 529 MARTIN LUTHER KING AVENUE
    FLINT, MI
    ZIP 48502
  • Facility Phone: 810 238-0483
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEVA L. JOHNSON
  • NPI Number: 1194112771
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2106133
LAB Type Physician Office
Facility Name FLINT ODYSSEY HOUSE INC
Street 529 MARTIN LUTHER KING AVENUE
City FLINT
State MI
ZIP 48502
Phone 810 238-0483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director NEVA L. JOHNSON

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