23D0679187 CLIA NUMBER - JACKSON OPCO, LLC DBA ALLEGRA NURSING REHAB

Laboratory Demographics

  • CLIA Code: 23D0679187
  • Facility Name: JACKSON OPCO, LLC DBA ALLEGRA NURSING REHAB
  • Facility Address: 434 W NORTH STREET
    JACKSON, MI
    ZIP 49202
  • Facility Phone: 517 787-3250
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMI THAYER
  • NPI Number: 1619419272
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0679187
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JACKSON OPCO, LLC DBA ALLEGRA NURSING REHAB
Street 434 W NORTH STREET
City JACKSON
State MI
ZIP 49202
Phone 517 787-3250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TAMI THAYER

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