23D2092934 CLIA NUMBER - CHERRY HILL HAVEN KALKASKA

Laboratory Demographics

  • CLIA Code: 23D2092934
  • Facility Name: CHERRY HILL HAVEN KALKASKA
  • Facility Address: 3412 AMERICAN WAY
    WILLIAMSBURG, MI
    ZIP 49690
  • Facility Phone: 231 645-2341
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MATT LEBLANC
  • NPI Number: 1447592746
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2092934
LAB Type Assisted Living Facility
Facility Name CHERRY HILL HAVEN KALKASKA
Street 3412 AMERICAN WAY
City WILLIAMSBURG
State MI
ZIP 49690
Phone 231 645-2341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Assisted Living Facility
Lab Director MATT LEBLANC

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