23D0708051 CLIA NUMBER - NEWAYGO MEDICAL CARE FACILITY

Laboratory Demographics

  • CLIA Code: 23D0708051
  • Facility Name: NEWAYGO MEDICAL CARE FACILITY
  • Facility Address: 4465 W 48TH STREET
    FREMONT, MI
    ZIP 49412
  • Facility Phone: 616 924-2020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUDITH STILL
  • NPI Number: 1033168406
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0708051
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEWAYGO MEDICAL CARE FACILITY
Street 4465 W 48TH STREET
City FREMONT
State MI
ZIP 49412
Phone 616 924-2020
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 JUDITH STILL

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