23D0874268 CLIA NUMBER - WESTGATE LIVING CENTER

Laboratory Demographics

  • CLIA Code: 23D0874268
  • Facility Name: WESTGATE LIVING CENTER
  • Facility Address: 1500 NORTH LOWELL STREET
    IRONWOOD, MI
    ZIP 49938
  • Facility Phone: 906 932-3867
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BETTY USITALO
  • NPI Number: 1275531386
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0874268
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTGATE LIVING CENTER
Street 1500 NORTH LOWELL STREET
City IRONWOOD
State MI
ZIP 49938
Phone 906 932-3867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BETTY USITALO

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