23D0380995 CLIA NUMBER - WEXFORD SENIOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 23D0380995
  • Facility Name: WEXFORD SENIOR CARE CENTER
  • Facility Address: 460 PEARL STREET
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 775-0101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA GAMBLE
  • NPI Number: 1407849656
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0380995
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEXFORD SENIOR CARE CENTER
Street 460 PEARL STREET
City CADILLAC
State MI
ZIP 49601
Phone 231 775-0101
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 LISA GAMBLE

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