23D0722558 CLIA NUMBER - AUTUMNWOOD OF MCBAIN

Laboratory Demographics

  • CLIA Code: 23D0722558
  • Facility Name: AUTUMNWOOD OF MCBAIN
  • Facility Address: 220 HUGHSTON STREET
    MC BAIN, MI
    ZIP 49657
  • Facility Phone: 616 825-2990
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTIE HANNA
  • NPI Number: 1669479721
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0722558
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AUTUMNWOOD OF MCBAIN
Street 220 HUGHSTON STREET
City MC BAIN
State MI
ZIP 49657
Phone 616 825-2990
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 KRISTIE HANNA

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