23D2205156 CLIA NUMBER - WINDEMERE PARK ASSISTED LIVING I

Laboratory Demographics

  • CLIA Code: 23D2205156
  • Facility Name: WINDEMERE PARK ASSISTED LIVING I
  • Facility Address: 31800 VAN DYKE AVE
    WARREN, MI
    ZIP 48093
  • Facility Phone: 586 264-9701
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AARON J. RODINO
  • NPI Number: 1467735977
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2205156
LAB Type Assisted Living Facility
Facility Name WINDEMERE PARK ASSISTED LIVING I
Street 31800 VAN DYKE AVE
City WARREN
State MI
ZIP 48093
Phone 586 264-9701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Assisted Living Facility
Lab Director AARON J. RODINO

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