23D0379290 CLIA NUMBER - RIVERSIDE NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 23D0379290
  • Facility Name: RIVERSIDE NURSING AND REHABILITATION
  • Facility Address: 415 FRIANT STREET
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: 616 842-4120
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LESLIE STURGILL
  • NPI Number: 1538167630
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0379290
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERSIDE NURSING AND REHABILITATION
Street 415 FRIANT STREET
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 842-4120
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 LESLIE STURGILL

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