23D2246562 CLIA NUMBER - ADAPT, ST JOE

Laboratory Demographics

  • CLIA Code: 23D2246562
  • Facility Name: ADAPT, ST JOE
  • Facility Address: 907 N CLAY
    STURGIS, MI
    ZIP 49091
  • Facility Phone: 269 651-7900
  • Facility Type: Other - MAIN ST JOE AFC HOMES
  • Facility Type: Waiver
  • Lab Director: MICHELLE P. SANDAHL
  • NPI Number: 1316119506
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2246562
LAB Type Other - MAIN ST JOE AFC HOMES
Facility Name ADAPT, ST JOE
Street 907 N CLAY
City STURGIS
State MI
ZIP 49091
Phone 269 651-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Other - MAIN ST JOE AFC HOMES
Lab Director MICHELLE P. SANDAHL

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