23D2075798 CLIA NUMBER - LOURDES ASSISTED LIVING MENDALSON HOME

Laboratory Demographics

  • CLIA Code: 23D2075798
  • Facility Name: LOURDES ASSISTED LIVING MENDALSON HOME
  • Facility Address: 2450 WATKINS LAKE RD.
    WATERFORD, MI
    ZIP 48328
  • Facility Phone: 248 618-6362
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ROBIN MCCLINTOCK
  • NPI Number: 1013446459
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2075798
LAB Type Assisted Living Facility
Facility Name LOURDES ASSISTED LIVING MENDALSON HOME
Street 2450 WATKINS LAKE RD.
City WATERFORD
State MI
ZIP 48328
Phone 248 618-6362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Assisted Living Facility
Lab Director ROBIN MCCLINTOCK

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