23D0366696 CLIA NUMBER - GLACIER HILLS

Laboratory Demographics

  • CLIA Code: 23D0366696
  • Facility Name: GLACIER HILLS
  • Facility Address: 1200 EARHART ROAD
    ANN ARBOR, MI
    ZIP 48105
  • Facility Phone: 734 929-6808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LEEANN PENNINGTON
  • NPI Number: 1811936768
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0366696
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLACIER HILLS
Street 1200 EARHART ROAD
City ANN ARBOR
State MI
ZIP 48105
Phone 734 929-6808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LEEANN PENNINGTON

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