23D0650865 CLIA NUMBER - SHIAWASSEE COUNTY MEDICAL CARE FACILITY

Laboratory Demographics

  • CLIA Code: 23D0650865
  • Facility Name: SHIAWASSEE COUNTY MEDICAL CARE FACILITY
  • Facility Address: 275 CALEDONIA DRIVE
    OWOSSO, MI
    ZIP 48867
  • Facility Phone: 989 743-3491
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHANA ESPINOZA
  • NPI Number: 1679505804
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0650865
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHIAWASSEE COUNTY MEDICAL CARE FACILITY
Street 275 CALEDONIA DRIVE
City OWOSSO
State MI
ZIP 48867
Phone 989 743-3491
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 SHANA ESPINOZA

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