23D0709180 CLIA NUMBER - ADVANTAGE LIVING CENTER/ROSEVILLE

Laboratory Demographics

  • CLIA Code: 23D0709180
  • Facility Name: ADVANTAGE LIVING CENTER/ROSEVILLE
  • Facility Address: 25375 KELLY RD
    ROSEVILLE, MI
    ZIP 48066
  • Facility Phone: 586 773-6022
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHANITA D. BRADLEY
  • NPI Number: 1417354200
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0709180
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADVANTAGE LIVING CENTER/ROSEVILLE
Street 25375 KELLY RD
City ROSEVILLE
State MI
ZIP 48066
Phone 586 773-6022
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 SHANITA D. BRADLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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