23D0724418 CLIA NUMBER - LOURDES REHABILITATION AND HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 23D0724418
  • Facility Name: LOURDES REHABILITATION AND HEALTHCARE CENTER
  • Facility Address: 2300 WATKINS LAKE ROAD
    WATERFORD, MI
    ZIP 48328
  • Facility Phone: 248 674-2241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH J. EDMONDS
  • NPI Number: 1184616732
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0724418
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LOURDES REHABILITATION AND HEALTHCARE CENTER
Street 2300 WATKINS LAKE ROAD
City WATERFORD
State MI
ZIP 48328
Phone 248 674-2241
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 DEBORAH J. EDMONDS

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