23D1080303 CLIA NUMBER - GEORGETOWN & CAMBRIDGE MANORS

Laboratory Demographics

  • CLIA Code: 23D1080303
  • Facility Name: GEORGETOWN & CAMBRIDGE MANORS
  • Facility Address: 141-151 PORT SHELDON ROAD
    GRANDVILLE, MI
    ZIP 49418
  • Facility Phone: 616 285-0569
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA JIGGENS
  • NPI Number: 1023233681
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1080303
LAB Type Assisted Living Facility
Facility Name GEORGETOWN & CAMBRIDGE MANORS
Street 141-151 PORT SHELDON ROAD
City GRANDVILLE
State MI
ZIP 49418
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 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Assisted Living Facility
Lab Director REBECCA JIGGENS

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