23D1039525 CLIA NUMBER - COMPASSUS - NORTHERN MICHIGAN

Laboratory Demographics

  • CLIA Code: 23D1039525
  • Facility Name: COMPASSUS - NORTHERN MICHIGAN
  • Facility Address: 3217 W M-55, SUITE B
    WEST BRANCH, MI
    ZIP 48661
  • Facility Phone: 989 343-2470
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JACKIE RAU
  • NPI Number: 1518071489
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D1039525
LAB Type Hospice
Facility Name COMPASSUS - NORTHERN MICHIGAN
Street 3217 W M-55, SUITE B
City WEST BRANCH
State MI
ZIP 48661
Phone 989 343-2470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Hospice
Lab Director JACKIE RAU

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