23D2216190 CLIA NUMBER - GREEN ACRES MASON

Laboratory Demographics

CLIA Number: 23D2216190

Facility Name: GREEN ACRES MASON

Facility Address:
1025 E ASH ST
MASON, MI
ZIP 48854
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Facility Phone Number: 517 676-1484

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1003360496

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	23D2216190
LAB Type	Assisted Living Facility
Facility Name	GREEN ACRES MASON
Street	1025 E ASH ST
City	MASON
State	MI
ZIP	48854
Phone	517 676-1484
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

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