23D2239232 CLIA NUMBER - HAZEL PARK SCHOOLS

Laboratory Demographics

  • CLIA Code: 23D2239232
  • Facility Name: HAZEL PARK SCHOOLS
  • Facility Address: 1620 E ELZA
    HAZEL PARK, MI
    ZIP 48030
  • Facility Phone: 248 658-5217
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHAWN JOHNSON
  • NPI Number: 1265763973
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2239232
LAB Type School/Student Health Service
Facility Name HAZEL PARK SCHOOLS
Street 1620 E ELZA
City HAZEL PARK
State MI
ZIP 48030
Phone 248 658-5217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type School/Student Health Service
Lab Director SHAWN JOHNSON

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