23D2216751 CLIA NUMBER - CHESTNUT FIELDS

Laboratory Demographics

CLIA Number: 23D2216751

Facility Name: CHESTNUT FIELDS

Facility Address:
5425 CHESTNUT DRIVE
MUSKEGON, MI
ZIP 49444
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Facility Phone Number: 231 798-2220

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1699104513

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	23D2216751
LAB Type	Assisted Living Facility
Facility Name	CHESTNUT FIELDS
Street	5425 CHESTNUT DRIVE
City	MUSKEGON
State	MI
ZIP	49444
Phone	231 798-2220
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

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