23D1102194 CLIA NUMBER - BRIARWOOD ASSISTED LIVING

Laboratory Demographics

CLIA Number: 23D1102194

Facility Name: BRIARWOOD ASSISTED LIVING

Facility Address:
620 ELY STREET
ALLEGAN, MI
ZIP 49010
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Facility Phone Number: 269 673-9536

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1861729568

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	23D1102194
LAB Type	Assisted Living Facility
Facility Name	BRIARWOOD ASSISTED LIVING
Street	620 ELY STREET
City	ALLEGAN
State	MI
ZIP	49010
Phone	269 673-9536
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

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