23D0375759 CLIA NUMBER - IONIA SNF, LLC

Laboratory Demographics

  • CLIA Code: 23D0375759
  • Facility Name: IONIA SNF, LLC
  • Facility Address: 814 E LINCOLN AVE
    IONIA, MI
    ZIP 48846
  • Facility Phone: 616 527-0080
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KALEY EVANS
  • NPI Number: 1649769282
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0375759
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IONIA SNF, LLC
Street 814 E LINCOLN AVE
City IONIA
State MI
ZIP 48846
Phone 616 527-0080
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 KALEY EVANS

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