23D2289244 CLIA NUMBER - ADDINGTON PLACE OF CLARKSTON

Laboratory Demographics

CLIA Number: 23D2289244

Facility Name: ADDINGTON PLACE OF CLARKSTON

Facility Address:
5700 WATER TOWER PLACE
CLARKSTON, MI
ZIP 48346
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Facility Phone Number: 248 625-0500

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1396367041

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	23D2289244
LAB Type	Assisted Living Facility
Facility Name	ADDINGTON PLACE OF CLARKSTON
Street	5700 WATER TOWER PLACE
City	CLARKSTON
State	MI
ZIP	48346
Phone	248 625-0500
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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