23D0651139 CLIA NUMBER - PINECREST MEDICAL CARE FACILITY

Laboratory Demographics

  • CLIA Code: 23D0651139
  • Facility Name: PINECREST MEDICAL CARE FACILITY
  • Facility Address: N 15995 MAIN ST
    POWERS, MI
    ZIP 49874
  • Facility Phone: 906 497-5244
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TINA M. KOSKI
  • NPI Number: 1730186891
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0651139
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINECREST MEDICAL CARE FACILITY
Street N 15995 MAIN ST
City POWERS
State MI
ZIP 49874
Phone 906 497-5244
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 TINA M. KOSKI

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