23D1082105 CLIA NUMBER - LIBERTY LIVING INC WILSON HOME

Laboratory Demographics

  • CLIA Code: 23D1082105
  • Facility Name: LIBERTY LIVING INC WILSON HOME
  • Facility Address: 500 WILSON STREET
    BAY CITY, MI
    ZIP 48708
  • Facility Phone: 989 894-8592
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHIRLEY GRIEBE
  • NPI Number: 1053535005
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1082105
LAB Type Other
Facility Name LIBERTY LIVING INC WILSON HOME
Street 500 WILSON STREET
City BAY CITY
State MI
ZIP 48708
Phone 989 894-8592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Other
Lab Director SHIRLEY GRIEBE

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