23D1008120 CLIA NUMBER - SUNSET MANOR AND VILLAGES

Laboratory Demographics

  • CLIA Code: 23D1008120
  • Facility Name: SUNSET MANOR AND VILLAGES
  • Facility Address: 725 BALDWIN STREET
    JENISON, MI
    ZIP 49428
  • Facility Phone: 616 457-2770
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DIANE M. KAZMA
  • NPI Number: 1235550492
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1008120
LAB Type Assisted Living Facility
Facility Name SUNSET MANOR AND VILLAGES
Street 725 BALDWIN STREET
City JENISON
State MI
ZIP 49428
Phone 616 457-2770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Assisted Living Facility
Lab Director DIANE M. KAZMA

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