23D0892193 CLIA NUMBER - HAMILTON NURSING HOME

Laboratory Demographics

  • CLIA Code: 23D0892193
  • Facility Name: HAMILTON NURSING HOME
  • Facility Address: 590 E GRAND BOULEVARD
    DETROIT, MI
    ZIP 48207
  • Facility Phone: 313 921-1580
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TOYA A. MATHIS
  • NPI Number: 1134121353
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0892193
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAMILTON NURSING HOME
Street 590 E GRAND BOULEVARD
City DETROIT
State MI
ZIP 48207
Phone 313 921-1580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TOYA A. MATHIS

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