23D0669550 CLIA NUMBER - MT PLEASANT OPCO, LLC

Laboratory Demographics

  • CLIA Code: 23D0669550
  • Facility Name: MT PLEASANT OPCO, LLC
  • Facility Address: 1524 PORTABELLA TRAIL
    MOUNT PLEASANT, MI
    ZIP 48858
  • Facility Phone: 989 772-2967
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMBER KANINE
  • NPI Number: 1780081844
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0669550
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MT PLEASANT OPCO, LLC
Street 1524 PORTABELLA TRAIL
City MOUNT PLEASANT
State MI
ZIP 48858
Phone 989 772-2967
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 AMBER KANINE

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