23D1068494 CLIA NUMBER - ADVANTAGE LIVING CENTER - SAMARITAN

Laboratory Demographics

  • CLIA Code: 23D1068494
  • Facility Name: ADVANTAGE LIVING CENTER - SAMARITAN
  • Facility Address: 5555 CONNER AVE SUITE 4000
    DETROIT, MI
    ZIP 48213
  • Facility Phone: 313 344-4100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANNENE MCKINNEY
  • NPI Number: 1821147216
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1068494
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADVANTAGE LIVING CENTER - SAMARITAN
Street 5555 CONNER AVE SUITE 4000
City DETROIT
State MI
ZIP 48213
Phone 313 344-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JANNENE MCKINNEY

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