23D2205132 CLIA NUMBER - RIVERTOWN RIDGE

Laboratory Demographics

  • CLIA Code: 23D2205132
  • Facility Name: RIVERTOWN RIDGE
  • Facility Address: 3555 COPPER RIVER AVE SW
    WYOMING, MI
    ZIP 49418
  • Facility Phone: 616 258-2784
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERIC KIRBY
  • NPI Number: 1558633909
  • Taxonomy: 122300000X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2205132
LAB Type Assisted Living Facility
Facility Name RIVERTOWN RIDGE
Street 3555 COPPER RIVER AVE SW
City WYOMING
State MI
ZIP 49418
Phone 616 258-2784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Assisted Living Facility
Lab Director ERIC KIRBY

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: 3/20/2025