23D2233587 CLIA NUMBER - CARELINE HMI300 LLC

Laboratory Demographics

  • CLIA Code: 23D2233587
  • Facility Name: CARELINE HMI300 LLC
  • Facility Address: 770 KENMOOR AVENUE SUITE 100
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 517 212-9000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CATHERINE BLISS
  • NPI Number: 1124780465
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2233587
LAB Type Hospice
Facility Name CARELINE HMI300 LLC
Street 770 KENMOOR AVENUE SUITE 100
City GRAND RAPIDS
State MI
ZIP 49546
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 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Hospice
Lab Director CATHERINE BLISS

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