23D0379460 CLIA NUMBER - RESTHAVEN CARE CENTER

Laboratory Demographics

  • CLIA Code: 23D0379460
  • Facility Name: RESTHAVEN CARE CENTER
  • Facility Address: 280 W 40TH STREET
    HOLLAND, MI
    ZIP 49423
  • Facility Phone: 616 796-3600
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: TIFFANY L. ZIEMBA
  • NPI Number: 1942239223
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0379460
LAB Type Independent
Facility Name RESTHAVEN CARE CENTER
Street 280 W 40TH STREET
City HOLLAND
State MI
ZIP 49423
Phone 616 796-3600
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 Independent
Lab Director TIFFANY L. ZIEMBA

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