23D0651040 CLIA NUMBER - CHRISTIAN REST HOME ASSOC

Laboratory Demographics

  • CLIA Code: 23D0651040
  • Facility Name: CHRISTIAN REST HOME ASSOC
  • Facility Address: 1000 EDISON AVE NW
    GRAND RAPIDS, MI
    ZIP 49504
  • Facility Phone: 616 453-2475
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GAYLE DYKEMA
  • NPI Number: 1073506473
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0651040
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHRISTIAN REST HOME ASSOC
Street 1000 EDISON AVE NW
City GRAND RAPIDS
State MI
ZIP 49504
Phone 616 453-2475
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 GAYLE DYKEMA

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