23D2260530 CLIA NUMBER - CORTLAND MANOR

Laboratory Demographics

CLIA Code: 23D2260530
Facility Name: CORTLAND MANOR
Facility Address: 4320 CORTLAND
DETROIT, MI
ZIP 48204
Facility Phone: 313 491-5525
Facility Type: Home Health Agency
Facility Type: Waiver
Lab Director: KARLA A. BOWIE
NPI Number: 1558485078
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	23D2260530
LAB Type	Home Health Agency
Facility Name	CORTLAND MANOR
Street	4320 CORTLAND
City	DETROIT
State	MI
ZIP	48204
Phone	313 491-5525
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/19/2024
Certificate Expiration Date	5/18/2026
Facility Type	Home Health Agency
Lab Director	KARLA A. BOWIE

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