23D2264091 CLIA NUMBER - CARE CARDINAL CASCADE

Laboratory Demographics

  • CLIA Code: 23D2264091
  • Facility Name: CARE CARDINAL CASCADE
  • Facility Address: 6117 CHARLEVOIX WOODS COURT SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 460-8531
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DALETRON THOMPSON
  • NPI Number: 1861779209
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 23D2264091
LAB Type Assisted Living Facility
Facility Name CARE CARDINAL CASCADE
Street 6117 CHARLEVOIX WOODS COURT SE
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 460-8531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Assisted Living Facility
Lab Director DALETRON THOMPSON

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