23D2275204 CLIA NUMBER - CARELINE CMI100 LLC

Laboratory Demographics

  • CLIA Code: 23D2275204
  • Facility Name: CARELINE CMI100 LLC
  • Facility Address: 103 S JACKSON STREET SUITE B
    JACKSON, MI
    ZIP 49201
  • Facility Phone: 517 212-9000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PATTI M. ROHN
  • NPI Number: 1699481838
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2275204
LAB Type Home Health Agency
Facility Name CARELINE CMI100 LLC
Street 103 S JACKSON STREET SUITE B
City JACKSON
State MI
ZIP 49201
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 Home Health Agency
Lab Director PATTI M. ROHN

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