23D2174559 CLIA NUMBER - GENESEE HEALTH PLAN

Laboratory Demographics

  • CLIA Code: 23D2174559
  • Facility Name: GENESEE HEALTH PLAN
  • Facility Address: 2171 S LINDEN ROAD
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 232-7740
  • Facility Type: Other - CO HEALTH PLAN
  • Facility Type: Waiver
  • Lab Director: BRENDA R. FORTUNATE
  • NPI Number: 1346019288
  • Taxonomy: 172V00000X - Community Health Worker

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CLIA Record

Field Name Field Value
CLIA Number 23D2174559
LAB Type Other - CO HEALTH PLAN
Facility Name GENESEE HEALTH PLAN
Street 2171 S LINDEN ROAD
City FLINT
State MI
ZIP 48532
Phone 810 232-7740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Other - CO HEALTH PLAN
Lab Director BRENDA R. FORTUNATE

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