23D0379991 CLIA NUMBER - OPTALIS WHITEHALL OPCO, LLC

Laboratory Demographics

  • CLIA Code: 23D0379991
  • Facility Name: OPTALIS WHITEHALL OPCO, LLC
  • Facility Address: 916 E LEWIS STREET
    WHITEHALL, MI
    ZIP 49461
  • Facility Phone: (231) 894-4056
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINDSAY COOPER
  • NPI Number: 1750177291
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0379991
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OPTALIS WHITEHALL OPCO, LLC
Street 916 E LEWIS STREET
City WHITEHALL
State MI
ZIP 49461
Phone 2318944056
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 LINDSAY COOPER

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