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23D1082499 CLIA NUMBER - LIFECIRCLES - PACE

Laboratory Demographics

CLIA Number: 23D1082499

Facility Name: LIFECIRCLES - PACE

Facility Address:
560 SEMINOLE ROAD
MUSKEGON, MI
ZIP 49444
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Facility Phone Number: 616 582-3100

Facility Type: Other - PACE

Certificate Type: Waiver
NPI Number: 1710124045

Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

CLIA Record

Field Name Field Value
CLIA Number 23D1082499
LAB Type Other - PACE
Facility Name LIFECIRCLES - PACE
Street 560 SEMINOLE ROAD
City MUSKEGON
State MI
ZIP 49444
Phone 616 582-3100
CertificateType 4
CertificateEffectiveDate 4/11/2024
CertificateExpirationDate 4/10/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024