23D2308070 CLIA NUMBER - DEVELOPMENT CENTERS DBA MISIDE

Laboratory Demographics

  • CLIA Code: 23D2308070
  • Facility Name: DEVELOPMENT CENTERS DBA MISIDE
  • Facility Address: 24424 W MCNICHOLS
    DETROIT, MI
    ZIP 48219
  • Facility Phone: 313 531-2500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JAMAL SALEH
  • NPI Number: 1356744106
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D2308070
LAB Type Community Clinic
Facility Name DEVELOPMENT CENTERS DBA MISIDE
Street 24424 W MCNICHOLS
City DETROIT
State MI
ZIP 48219
Phone 313 531-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Community Clinic
Lab Director JAMAL SALEH

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