23D2217100 CLIA NUMBER - ANGELA HALL INC DBA PINEWOOD RETIREMENT HOME

Laboratory Demographics

  • CLIA Code: 23D2217100
  • Facility Name: ANGELA HALL INC DBA PINEWOOD RETIREMENT HOME
  • Facility Address: 3234 NESTROM
    WHITEHALL, MI
    ZIP 49461
  • Facility Phone: 231 766-3807
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA HALL
  • NPI Number: 1679907539
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2217100
LAB Type Assisted Living Facility
Facility Name ANGELA HALL INC DBA PINEWOOD RETIREMENT HOME
Street 3234 NESTROM
City WHITEHALL
State MI
ZIP 49461
Phone 231 766-3807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Assisted Living Facility
Lab Director ANGELA HALL

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