23D2139144 CLIA NUMBER - GRAND VILLAGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 23D2139144
  • Facility Name: GRAND VILLAGE ASSISTED LIVING
  • Facility Address: 3939 44TH STREET SW
    GRANDVILLE, MI
    ZIP 49418
  • Facility Phone: 616 261-2610
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JULIE HUTH
  • NPI Number: 1518931732
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2139144
LAB Type Assisted Living Facility
Facility Name GRAND VILLAGE ASSISTED LIVING
Street 3939 44TH STREET SW
City GRANDVILLE
State MI
ZIP 49418
Phone 616 261-2610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Assisted Living Facility
Lab Director JULIE HUTH

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