23D2283248 CLIA NUMBER - DIXIE LODGE

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CLIA Record

Field Name Field Value
CLIA Number 23D2283248
LAB Type Other - RESIDENTIAL ADULT FOSTER
Facility Name DIXIE LODGE
Street 10483 DIXIE HIGHWAY
City HOLLY
State MI
ZIP 48442
Phone 810 866-4277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Other - RESIDENTIAL ADULT FOSTER
Lab Director RITA M. DOSS

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