23D2203760 CLIA NUMBER - CHRISTIAN HAVEN HOME

Laboratory Demographics

  • CLIA Code: 23D2203760
  • Facility Name: CHRISTIAN HAVEN HOME
  • Facility Address: 704 PENNOYER AVENUE
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: 616 842-0170
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LORI A. STRAND
  • NPI Number: 1235497009
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2203760
LAB Type Assisted Living Facility
Facility Name CHRISTIAN HAVEN HOME
Street 704 PENNOYER AVENUE
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 842-0170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Assisted Living Facility
Lab Director LORI A. STRAND

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