23D2275206 CLIA NUMBER - CARELINE CMI300 LLC

Laboratory Demographics

  • CLIA Code: 23D2275206
  • Facility Name: CARELINE CMI300 LLC
  • Facility Address: 770 KENMOOR AVENUE SUITE B
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 272-3533
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PATTI M. ROHN
  • NPI Number: 1770257818
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2275206
LAB Type Home Health Agency
Facility Name CARELINE CMI300 LLC
Street 770 KENMOOR AVENUE SUITE B
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 272-3533
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