23D0669315 CLIA NUMBER - ROUBAL CARE & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 23D0669315
  • Facility Name: ROUBAL CARE & REHAB CENTER
  • Facility Address: N306 MAPLE STREET
    STEPHENSON, MI
    ZIP 49887
  • Facility Phone: 906 753-4981
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CRAIG M. JESTILA
  • NPI Number: 1457346801
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0669315
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROUBAL CARE & REHAB CENTER
Street N306 MAPLE STREET
City STEPHENSON
State MI
ZIP 49887
Phone 906 753-4981
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 CRAIG M. JESTILA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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