23D1081171 CLIA NUMBER - HICKORY RIDGE OF TEMPERANCE

Laboratory Demographics

  • CLIA Code: 23D1081171
  • Facility Name: HICKORY RIDGE OF TEMPERANCE
  • Facility Address: 951 HICKORY CREEK DRIVE
    TEMPERANCE, MI
    ZIP 48182
  • Facility Phone: 248 386-0300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARAH BROWN
  • NPI Number: 1467638494
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1081171
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HICKORY RIDGE OF TEMPERANCE
Street 951 HICKORY CREEK DRIVE
City TEMPERANCE
State MI
ZIP 48182
Phone 248 386-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SARAH BROWN

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