23D2303690 CLIA NUMBER - BLACK FAMILY DEVELOPMENT INC

Laboratory Demographics

  • CLIA Code: 23D2303690
  • Facility Name: BLACK FAMILY DEVELOPMENT INC
  • Facility Address: 2995 E GRAND BLVD
    DETROIT, MI
    ZIP 48202
  • Facility Phone: 313 758-0150
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LISA R. HASTON-FULLER
  • NPI Number: 1821120445
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2303690
LAB Type Community Clinic
Facility Name BLACK FAMILY DEVELOPMENT INC
Street 2995 E GRAND BLVD
City DETROIT
State MI
ZIP 48202
Phone 313 758-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Community Clinic
Lab Director LISA R. HASTON-FULLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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