RIVER RIDGE RETIREMENT VILLAGE - LABORATORY
NPI 1255640298
Clinical Medical Laboratory in South Haven, MI

Active since September 24, 2010CLIA 23D1102188 · Waiver
706 KENTUCKY AVE, SOUTH HAVEN, MI 49090(269) 639-7310 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About River Ridge Retirement Village - Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER RIDGE RETIREMENT VILLAGE - LABORATORY (NPI 1255640298) is a healthcare organization registered as a clinical medical laboratory in South Haven, Michigan and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through August 6, 2026 and lists Thomas Nobel, President, as its authorized official.

NPPES Registry Identity

NPI1255640298
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameRIVER RIDGE RETIREMENT VILLAGE L L C
Location Address706 KENTUCKY AVESouth Haven, MI 49090-9607
Mailing Address706 Kentucky AveSouth Haven, MI 49090-9607 · (269) 639-7310
Organization SubpartNo
Authorized OfficialThomas NobelPresident · (269) 639-7310
Enumeration DateSeptember 24, 2010
Last NPPES UpdateMarch 17, 2011
NPI 1255640298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in MI · 23D1102188
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
706 KENTUCKY AVE, South Haven, MI 49090

Other Names 1

Doing Business AsRiver Ridge Retirement Village - Laboratory

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1102188

River Ridge Retirement Village · South Haven, MI
Active · expires Aug 6, 2026
CLIA Number23D1102188
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 7, 2024
Certificate Expiration DateAugust 6, 2026
Laboratory DirectorJonathan Book
Laboratory Phone(269) 639-7310
Laboratory LocationRiver Ridge Retirement Village706 Kentucky Avenue, South Haven, MI 49090
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
706 KENTUCKY AVE
SOUTH HAVEN, MI 49090
Occupational Therapy Assistant
706 KENTUCKY AVE
SOUTH HAVEN, MI 49090
Occupational Therapy Assistant
706 KENTUCKY AVE
SOUTH HAVEN, MI 49090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Ridge Retirement Village L L C's NPI number?

The NPI number for River Ridge Retirement Village L L C is 1255640298. It was assigned to this organization in the NPPES registry on September 24, 2010. The provider is doing business as River Ridge Retirement Village - Laboratory.

Where is River Ridge Retirement Village L L C located?

River Ridge Retirement Village L L C is located at 706 Kentucky Ave, South Haven, MI 49090. The listed phone number is (269) 639-7310.

What is River Ridge Retirement Village L L C's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does River Ridge Retirement Village L L C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1102188) is associated with this NPI, valid through August 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for River Ridge Retirement Village L L C was last updated on March 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.