23D2078499 CLIA NUMBER - WHITE LAKE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 23D2078499
  • Facility Name: WHITE LAKE ASSISTED LIVING
  • Facility Address: 6827 WHITEHALL ROAD
    WHITEHALL, MI
    ZIP 49461
  • Facility Phone: (231) 893-8730
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMI MOY
  • NPI Number: 1053744599
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2078499
LAB Type Assisted Living Facility
Facility Name WHITE LAKE ASSISTED LIVING
Street 6827 WHITEHALL ROAD
City WHITEHALL
State MI
ZIP 49461
Phone 2318938730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Assisted Living Facility
Lab Director AMI MOY

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This page was last updated on: 5/18/2026