23D2151628 CLIA NUMBER - SUNRISE OF GROSSE POINTE WOODS SUNRISE SENIOR

Laboratory Demographics

  • CLIA Code: 23D2151628
  • Facility Name: SUNRISE OF GROSSE POINTE WOODS SUNRISE SENIOR
  • Facility Address: 21260 MACK AVENUE
    GROSSE POINTE WOODS, MI
    ZIP 48236
  • Facility Phone: 313 343-0600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY MADAK
  • NPI Number: 1639711443
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2151628
LAB Type Assisted Living Facility
Facility Name SUNRISE OF GROSSE POINTE WOODS SUNRISE SENIOR
Street 21260 MACK AVENUE
City GROSSE POINTE WOODS
State MI
ZIP 48236
Phone 313 343-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Assisted Living Facility
Lab Director JEFFREY MADAK

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