23D0701508 CLIA NUMBER - THORNAPPLE MANOR

Laboratory Demographics

  • CLIA Code: 23D0701508
  • Facility Name: THORNAPPLE MANOR
  • Facility Address: 2700 NASHVILLE ROAD
    HASTINGS, MI
    ZIP 49058
  • Facility Phone: 269 945-2407
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DARNELL PACILLO
  • NPI Number: 1639171119
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0701508
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THORNAPPLE MANOR
Street 2700 NASHVILLE ROAD
City HASTINGS
State MI
ZIP 49058
Phone 269 945-2407
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 DARNELL PACILLO

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