23D1102204 CLIA NUMBER - FOREST GLEN ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 23D1102204
  • Facility Name: FOREST GLEN ASSISTED LIVING
  • Facility Address: 29601 AMERIHOST DRIVE
    DOWAGIAC, MI
    ZIP 49047
  • Facility Phone: 269 782-5300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KELSEY KLINE
  • NPI Number: 1457688145
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1102204
LAB Type Assisted Living Facility
Facility Name FOREST GLEN ASSISTED LIVING
Street 29601 AMERIHOST DRIVE
City DOWAGIAC
State MI
ZIP 49047
Phone 269 782-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Assisted Living Facility
Lab Director KELSEY KLINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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