23D1102195 CLIA NUMBER - GRACE HAVEN ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 23D1102195
  • Facility Name: GRACE HAVEN ASSISTED LIVING
  • Facility Address: 1507 GLASTONBURY DRIVE
    SAINT JOHNS, MI
    ZIP 48879
  • Facility Phone: 989 224-1650
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER HERALD
  • NPI Number: 1528395258
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D1102195
LAB Type Assisted Living Facility
Facility Name GRACE HAVEN ASSISTED LIVING
Street 1507 GLASTONBURY DRIVE
City SAINT JOHNS
State MI
ZIP 48879
Phone 989 224-1650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Assisted Living Facility
Lab Director JENNIFER HERALD

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