23D2160541 CLIA NUMBER - ASSURED FAMILY SERVICES/JUVENILE ASSESSMENT CENTER

Laboratory Demographics

CLIA Number: 23D2160541

Facility Name: ASSURED FAMILY SERVICES/JUVENILE ASSESSMENT CENTER

Facility Address:
7310 WOODWARD SUITE 601
DETROIT, MI
ZIP 48202
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Facility Phone Number: 313 896-1444

Facility Type: Other - URINALYSIS TESTING

Certificate Type: Waiver

NPI Number: 1376057679

Taxonomy: 261QM0855X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

CLIA Record

Field Name	Field Value
CLIA Number	23D2160541
LAB Type	Other - URINALYSIS TESTING
Facility Name	ASSURED FAMILY SERVICES/JUVENILE ASSESSMENT CENTER
Street	7310 WOODWARD SUITE 601
City	DETROIT
State	MI
ZIP	48202
Phone	313 896-1444
CertificateType	4
CertificateEffectiveDate	1/14/2023
CertificateExpirationDate	1/13/2025
FacilityType	Waiver

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