23D2199714 CLIA NUMBER - CLARK RETIREMENT COMMUNITIES

Laboratory Demographics

  • CLIA Code: 23D2199714
  • Facility Name: CLARK RETIREMENT COMMUNITIES
  • Facility Address: 1551 FRANKLIN STREET SE
    GRAND RAPIDS, MI
    ZIP 49506
  • Facility Phone: 616 278-6608
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: LISA A. SPANGLER
  • NPI Number: 1265421051
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2199714
LAB Type Community Clinic
Facility Name CLARK RETIREMENT COMMUNITIES
Street 1551 FRANKLIN STREET SE
City GRAND RAPIDS
State MI
ZIP 49506
Phone 616 278-6608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Community Clinic
Lab Director LISA A. SPANGLER

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