23D2203114 CLIA NUMBER - GOLDEN LIFE AFC

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Laboratory Demographics

CLIA Number: 23D2203114

Facility Name: GOLDEN LIFE AFC

Facility Address:
8675 SOUTH GROW
GREENVILLE, MI
ZIP 48838
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Facility Phone Number: 616 227-5899

Facility Type: Other - AFC

Certificate Type: Waiver

NPI Number: 1700433042

Taxonomy: 3104A0625X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

CLIA Record

Field Name	Field Value
CLIA Number	23D2203114
LAB Type	Other - AFC
Facility Name	GOLDEN LIFE AFC
Street	8675 SOUTH GROW
City	GREENVILLE
State	MI
ZIP	48838
Phone	616 227-5899
CertificateType	4
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024