23D0380760 CLIA NUMBER - CRESTVIEW SNF, LLC

Laboratory Demographics

  • CLIA Code: 23D0380760
  • Facility Name: CRESTVIEW SNF, LLC
  • Facility Address: 625 36TH STREET SW
    WYOMING, MI
    ZIP 49509
  • Facility Phone: 616 531-0200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY J. STANTON
  • NPI Number: 1073002606
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0380760
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTVIEW SNF, LLC
Street 625 36TH STREET SW
City WYOMING
State MI
ZIP 49509
Phone 616 531-0200
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 AMY J. STANTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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