23D2200985 CLIA NUMBER - REST HAVEN HOMES INC

Laboratory Demographics

  • CLIA Code: 23D2200985
  • Facility Name: REST HAVEN HOMES INC
  • Facility Address: 1424 UNION AVE NE
    GRAND RAPIDS, MI
    ZIP 49505
  • Facility Phone: 616 363-6819
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GREGORY TRACY
  • NPI Number: 1548537103
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2200985
LAB Type Assisted Living Facility
Facility Name REST HAVEN HOMES INC
Street 1424 UNION AVE NE
City GRAND RAPIDS
State MI
ZIP 49505
Phone 616 363-6819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Assisted Living Facility
Lab Director GREGORY TRACY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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