23D0372765 CLIA NUMBER - COURTNEY MANOR

Laboratory Demographics

  • CLIA Code: 23D0372765
  • Facility Name: COURTNEY MANOR
  • Facility Address: 1167 E HOPSON STREET
    BAD AXE, MI
    ZIP 48413
  • Facility Phone: 517 269-9983
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE IRELAND
  • NPI Number: 1871590018
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0372765
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COURTNEY MANOR
Street 1167 E HOPSON STREET
City BAD AXE
State MI
ZIP 48413
Phone 517 269-9983
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 STEPHANIE IRELAND

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