23D0669237 CLIA NUMBER - KALAMAZOO OPCO, LLC

Laboratory Demographics

  • CLIA Code: 23D0669237
  • Facility Name: KALAMAZOO OPCO, LLC
  • Facility Address: 1701 S 11TH STREET
    KALAMAZOO, MI
    ZIP 49009
  • Facility Phone: 269 375-2020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERRI GRAHAM
  • NPI Number: 1578960795
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0669237
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KALAMAZOO OPCO, LLC
Street 1701 S 11TH STREET
City KALAMAZOO
State MI
ZIP 49009
Phone 269 375-2020
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 TERRI GRAHAM

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