23D2200406 CLIA NUMBER - THE AGAPE HOME INC

Laboratory Demographics

  • CLIA Code: 23D2200406
  • Facility Name: THE AGAPE HOME INC
  • Facility Address: 4445 S BROOKS RD
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 780-2229
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD H. EBELING
  • NPI Number: 1861601676
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2200406
LAB Type Assisted Living Facility
Facility Name THE AGAPE HOME INC
Street 4445 S BROOKS RD
City MUSKEGON
State MI
ZIP 49444
Phone 231 780-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Assisted Living Facility
Lab Director RICHARD H. EBELING

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