23D2246188 CLIA NUMBER - NORTHVILLE MANOR LLC

Laboratory Demographics

  • CLIA Code: 23D2246188
  • Facility Name: NORTHVILLE MANOR LLC
  • Facility Address: 520 W MAIN STREET
    NORTHVILLE, MI
    ZIP 48167
  • Facility Phone: 248 349-4290
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERIC BROOKS
  • NPI Number: 1407516305
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2246188
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHVILLE MANOR LLC
Street 520 W MAIN STREET
City NORTHVILLE
State MI
ZIP 48167
Phone 248 349-4290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ERIC BROOKS

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