23D2200437 CLIA NUMBER - CHERRY BLOSSOM MANOR, INC

Laboratory Demographics

  • CLIA Code: 23D2200437
  • Facility Name: CHERRY BLOSSOM MANOR, INC
  • Facility Address: 611 E MAIN STREET SUITE B
    HART, MI
    ZIP 49420
  • Facility Phone: 231 873-5371
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. HINDMAN
  • NPI Number: 1174907380
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2200437
LAB Type Assisted Living Facility
Facility Name CHERRY BLOSSOM MANOR, INC
Street 611 E MAIN STREET SUITE B
City HART
State MI
ZIP 49420
Phone 231 873-5371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director PATRICIA A. HINDMAN

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