23D1102015 CLIA NUMBER - SUNNYSIDE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 23D1102015
  • Facility Name: SUNNYSIDE SENIOR LIVING
  • Facility Address: 108 WILDWOOD DRIVE
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: (231) 775-7750
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACKIE KIBBE
  • NPI Number: 1053635805
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1102015
LAB Type Assisted Living Facility
Facility Name SUNNYSIDE SENIOR LIVING
Street 108 WILDWOOD DRIVE
City CADILLAC
State MI
ZIP 49601
Phone 2317757750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Assisted Living Facility
Lab Director JACKIE KIBBE

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This page was last updated on: 5/18/2026