23D1075173 CLIA NUMBER - CEDAR COVE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 23D1075173
  • Facility Name: CEDAR COVE ASSISTED LIVING
  • Facility Address: 266 S MARY L STREET
    CEDARVILLE, MI
    ZIP 49719
  • Facility Phone: 616 285-0569
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DUSTIN TASSIER
  • NPI Number: 1912125956
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1075173
LAB Type Assisted Living Facility
Facility Name CEDAR COVE ASSISTED LIVING
Street 266 S MARY L STREET
City CEDARVILLE
State MI
ZIP 49719
Phone 616 285-0569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Assisted Living Facility
Lab Director DUSTIN TASSIER

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