16D1070762 CLIA NUMBER - GRAND HAVEN RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 16D1070762
  • Facility Name: GRAND HAVEN RETIREMENT COMMUNITY
  • Facility Address: 201 EAST FRANKLIN STREET
    ELDRIDGE, IA
    ZIP 52748
  • Facility Phone: 563 285-4900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL COLLINS
  • NPI Number: 1174716542
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 16D1070762
LAB Type Assisted Living Facility
Facility Name GRAND HAVEN RETIREMENT COMMUNITY
Street 201 EAST FRANKLIN STREET
City ELDRIDGE
State IA
ZIP 52748
Phone 563 285-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Assisted Living Facility
Lab Director DANIEL COLLINS

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