23D2306399 CLIA NUMBER - DEPRESSION HEALING CLINIC

Laboratory Demographics

  • CLIA Code: 23D2306399
  • Facility Name: DEPRESSION HEALING CLINIC
  • Facility Address: 1200 N WEST AVENUE SUITE 800
    JACKSON, MI
    ZIP 49202
  • Facility Phone: 517 960-6697
  • Facility Type: Other - COMMUNITY MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: EDWARD RODRIGUEZ
  • NPI Number: 1609621143
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2306399
LAB Type Other - COMMUNITY MENTAL HEALTH
Facility Name DEPRESSION HEALING CLINIC
Street 1200 N WEST AVENUE SUITE 800
City JACKSON
State MI
ZIP 49202
Phone 517 960-6697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - COMMUNITY MENTAL HEALTH
Lab Director EDWARD RODRIGUEZ

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