23D2160811 CLIA NUMBER - CARELINE PALLIATIVE CARE, LLC DBA CARELINE PHYSICIAN SERVICES'

Laboratory Demographics

  • CLIA Code: 23D2160811
  • Facility Name: CARELINE PALLIATIVE CARE, LLC DBA CARELINE PHYSICIAN SERVICES'
  • Facility Address: 801 ROSEHILL ROAD
    JACKSON, MI
    ZIP 49202
  • Facility Phone: 517 212-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS KIELHORN
  • NPI Number: 1750053880
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2160811
LAB Type Physician Office
Facility Name CARELINE PALLIATIVE CARE, LLC DBA CARELINE PHYSICIAN SERVICES'
Street 801 ROSEHILL ROAD
City JACKSON
State MI
ZIP 49202
Phone 517 212-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director NICHOLAS KIELHORN

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