23D2265813 CLIA NUMBER - GENESEE HEALTH SYSTEM BEHAVIORAL HEALTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D2265813
  • Facility Name: GENESEE HEALTH SYSTEM BEHAVIORAL HEALTH URGENT CARE
  • Facility Address: 1040 W BRISTOL ROAD
    FLINT, MI
    ZIP 48507
  • Facility Phone: 810 496-5510
  • Facility Type: Other - BEHAVIRAL HEALTH URGENT
  • Facility Type: Waiver
  • Lab Director: LISA M. BRUDER
  • NPI Number: 1043554348
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2265813
LAB Type Other - BEHAVIRAL HEALTH URGENT
Facility Name GENESEE HEALTH SYSTEM BEHAVIORAL HEALTH URGENT CARE
Street 1040 W BRISTOL ROAD
City FLINT
State MI
ZIP 48507
Phone 810 496-5510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Other - BEHAVIRAL HEALTH URGENT
Lab Director LISA M. BRUDER

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