23D0670600 CLIA NUMBER - ADVANTAGE LIVING CENTERS REDFORD

Laboratory Demographics

  • CLIA Code: 23D0670600
  • Facility Name: ADVANTAGE LIVING CENTERS REDFORD
  • Facility Address: 25330 W SIX MILE ROAD
    REDFORD, MI
    ZIP 48240
  • Facility Phone: 313 531-6874
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STACEY GENTZ
  • NPI Number: 1508247719
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0670600
LAB Type Assisted Living Facility
Facility Name ADVANTAGE LIVING CENTERS REDFORD
Street 25330 W SIX MILE ROAD
City REDFORD
State MI
ZIP 48240
Phone 313 531-6874
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 Assisted Living Facility
Lab Director STACEY GENTZ

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