23D0363871 CLIA NUMBER - CLINTON OPCO LLC

Laboratory Demographics

  • CLIA Code: 23D0363871
  • Facility Name: CLINTON OPCO LLC
  • Facility Address: 17001 17 MILE ROAD
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Facility Phone: (586) 286-7100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EBONY BUTLER
  • NPI Number: 1679516819
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0363871
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLINTON OPCO LLC
Street 17001 17 MILE ROAD
City CLINTON TOWNSHIP
State MI
ZIP 48038
Phone 5862867100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director EBONY BUTLER

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This page was last updated on: 5/18/2026