23D2206881 CLIA NUMBER - WILLIAMS COMMUNITY LIVING

Laboratory Demographics

CLIA Code: 23D2206881
Facility Name: WILLIAMS COMMUNITY LIVING
Facility Address: 2662 W GRAND BOULEVARD
DETROIT, MI
ZIP 48208
Facility Phone: 313 871-7542
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: VENSON WILLIAMS
NPI Number: 1356424832
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	23D2206881
LAB Type	Assisted Living Facility
Facility Name	WILLIAMS COMMUNITY LIVING
Street	2662 W GRAND BOULEVARD
City	DETROIT
State	MI
ZIP	48208
Phone	313 871-7542
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/22/2024
Certificate Expiration Date	12/21/2026
Facility Type	Assisted Living Facility
Lab Director	VENSON WILLIAMS

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