FOUNTAIN VIEW RETIREMENT
NPI 1720196819
Clinical Medical Laboratory in Fremont, MI

Active since August 28, 2006
102 HILLCREST DR, FREMONT, MI 49412(231) 924-5050(231) 924-6445 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 23D0975403
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 07-06-2026

About FOUNTAIN VIEW RETIREMENT

This page provides the complete NPI Profile along with additional information for Fountain View Retirement, a provider established in Fremont, Michigan operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1720196819 assigned on August 2006. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Diane Marie Graff L.p.n. (Administrator/nurse)

NPI
1720196819 Verify this NPI
Provider Name
FOUNTAIN VIEW RETIREMENT
Entity Type
Organization
Location Address
102 HILLCREST DR FREMONT, MI 49412
Location Phone
(231) 924-5050
Location Fax
(231) 924-6445
Mailing Address
102 HILLCREST DR FREMONT, MI 49412
Mailing Phone
(231) 924-5050
Mailing Fax
(231) 924-6445
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2006
Last Update Date
08-22-2020
Code Navigator

Establishments like Fountain View Retirement are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DIANE MARIE GRAFF L.P.N.

Authorized Official Title
ADMINISTRATOR/NURSE
Authorized Official Phone
(231) 924-5050

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0975403
Facility Type
Other
Certificate Effective Date
July 07, 2024
Certificate Expiration Date
July 06, 2026
Laboratory Director
SHELLEY MCDONALD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fountain View Retirement to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720196819, enumerated as an "organization" on August 28, 2006.

The provider is located at 102 HILLCREST DR FREMONT, MI 49412 and the phone number is (231) 924-5050.

Clinical Medical Laboratory with taxonomy code 291U00000X.