23D2307511 CLIA NUMBER - SAGINAW UNITED HIGH SCHOOL/GREAT LAKES BAY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D2307511
  • Facility Name: SAGINAW UNITED HIGH SCHOOL/GREAT LAKES BAY HEALTH CENTER
  • Facility Address: 1903 NIAGARA STREET
    SAGINAW, MI
    ZIP 48602
  • Facility Phone: 989 759-6400
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRENT M. MAZE
  • NPI Number: 1528765385
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2307511
LAB Type Federally Qualified Health Center
Facility Name SAGINAW UNITED HIGH SCHOOL/GREAT LAKES BAY HEALTH CENTER
Street 1903 NIAGARA STREET
City SAGINAW
State MI
ZIP 48602
Phone 989 759-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Federally Qualified Health Center
Lab Director BRENT M. MAZE

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