23D2068086 CLIA NUMBER - CENTRAL STATE COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 23D2068086
  • Facility Name: CENTRAL STATE COMMUNITY SERVICES
  • Facility Address: 2603 W WACKERLY STREET STE 201
    MIDLAND, MI
    ZIP 48640
  • Facility Phone: 989 631-6691
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PAULA OTT
  • NPI Number: 1245459460
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2068086
LAB Type Assisted Living Facility
Facility Name CENTRAL STATE COMMUNITY SERVICES
Street 2603 W WACKERLY STREET STE 201
City MIDLAND
State MI
ZIP 48640
Phone 989 631-6691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Assisted Living Facility
Lab Director PAULA OTT

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