23D1100671 CLIA NUMBER - OKEMOS OPCO, LLC

Laboratory Demographics

  • CLIA Code: 23D1100671
  • Facility Name: OKEMOS OPCO, LLC
  • Facility Address: 5211 MARSH ROAD
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 319-1400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLY MIELKE
  • NPI Number: 1962809038
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1100671
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OKEMOS OPCO, LLC
Street 5211 MARSH ROAD
City OKEMOS
State MI
ZIP 48864
Phone 517 319-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KELLY MIELKE

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