23D0651048 CLIA NUMBER - MICHIGAN CHRISTIAN HOME

Laboratory Demographics

  • CLIA Code: 23D0651048
  • Facility Name: MICHIGAN CHRISTIAN HOME
  • Facility Address: 1845 BOSTON SE
    GRAND RAPIDS, MI
    ZIP 49506
  • Facility Phone: 616 245-9179
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA J. DAGGETT
  • NPI Number: 1508865296
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0651048
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MICHIGAN CHRISTIAN HOME
Street 1845 BOSTON SE
City GRAND RAPIDS
State MI
ZIP 49506
Phone 616 245-9179
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 AMANDA J. DAGGETT

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