23D2211155 CLIA NUMBER - SANBORN GRATIOT MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 23D2211155
  • Facility Name: SANBORN GRATIOT MEMORIAL HOME
  • Facility Address: 2732 CHERRY STREET
    PORT HURON, MI
    ZIP 48060
  • Facility Phone: 810 388-1200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA BEEDON
  • NPI Number: 1790952232
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2211155
LAB Type Assisted Living Facility
Facility Name SANBORN GRATIOT MEMORIAL HOME
Street 2732 CHERRY STREET
City PORT HURON
State MI
ZIP 48060
Phone 810 388-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Assisted Living Facility
Lab Director LISA BEEDON

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