23D0651022 CLIA NUMBER - LAKE WOODS NURSING AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 23D0651022
  • Facility Name: LAKE WOODS NURSING AND REHABILITATION CENTER
  • Facility Address: 1684 VULCAN ST
    MUSKEGON, MI
    ZIP 49442
  • Facility Phone: 231 777-2511
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA HOLY
  • NPI Number: 1326025776
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0651022
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKE WOODS NURSING AND REHABILITATION CENTER
Street 1684 VULCAN ST
City MUSKEGON
State MI
ZIP 49442
Phone 231 777-2511
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 SANDRA HOLY

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