23D2076317 CLIA NUMBER - LIVING ALTERNATIVES FOR THE DEVELOPMENTALLY DISABL (LADD) INC

Laboratory Demographics

  • CLIA Code: 23D2076317
  • Facility Name: LIVING ALTERNATIVES FOR THE DEVELOPMENTALLY DISABL (LADD) INC
  • Facility Address: 300 WHITNEY
    DOWAGIAC, MI
    ZIP 49047
  • Facility Phone: 810 750-4596
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: GLORIA S. MITZELFELD
  • NPI Number: 1760901318
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 23D2076317
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name LIVING ALTERNATIVES FOR THE DEVELOPMENTALLY DISABL (LADD) INC
Street 300 WHITNEY
City DOWAGIAC
State MI
ZIP 49047
Phone 810 750-4596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director GLORIA S. MITZELFELD

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