23D2193480 CLIA NUMBER - BEACON POINTE - A MEMORY CARE COMMUNITY

Laboratory Demographics

  • CLIA Code: 23D2193480
  • Facility Name: BEACON POINTE - A MEMORY CARE COMMUNITY
  • Facility Address: 732 E CENTRE AVENUE
    PORTAGE, MI
    ZIP 49002
  • Facility Phone: 574 261-1124
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TODD DOCKERTY
  • NPI Number: 1225693534
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2193480
LAB Type Assisted Living Facility
Facility Name BEACON POINTE - A MEMORY CARE COMMUNITY
Street 732 E CENTRE AVENUE
City PORTAGE
State MI
ZIP 49002
Phone 574 261-1124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Assisted Living Facility
Lab Director TODD DOCKERTY

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