23D2109867 CLIA NUMBER - CNS HEALTHCARE

Laboratory Demographics

CLIA Number: 23D2109867

Facility Name: CNS HEALTHCARE

Facility Address:
279 SUMMIT DRIVE
WATERFORD, MI
ZIP 48328
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Facility Phone Number: 248 745-4900

Facility Type: Other - COMM MENTAL HEALTH CTR

Certificate Type: Waiver

NPI Number: 1821426172

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2109867
LAB Type	Other - COMM MENTAL HEALTH CTR
Facility Name	CNS HEALTHCARE
Street	279 SUMMIT DRIVE
City	WATERFORD
State	MI
ZIP	48328
Phone	248 745-4900
CertificateType	4
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	Waiver

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