23D0715113 CLIA NUMBER - CASCADE SENIOR CARE CENTER

Laboratory Demographics

  • CLIA Code: 23D0715113
  • Facility Name: CASCADE SENIOR CARE CENTER
  • Facility Address: 2121 ROBINSON ROAD
    JACKSON, MI
    ZIP 49203
  • Facility Phone: 517 247-4575
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASIE A. MILLER
  • NPI Number: 1164597688
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0715113
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASCADE SENIOR CARE CENTER
Street 2121 ROBINSON ROAD
City JACKSON
State MI
ZIP 49203
Phone 517 247-4575
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 CASIE A. MILLER

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