23D0379293 CLIA NUMBER - GRAND HAVEN OPCO, LLC

Laboratory Demographics

  • CLIA Code: 23D0379293
  • Facility Name: GRAND HAVEN OPCO, LLC
  • Facility Address: 900 S BEACON BLVD
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: 616 846-1850
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAITLYN GUGINS
  • NPI Number: 1184781676
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0379293
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRAND HAVEN OPCO, LLC
Street 900 S BEACON BLVD
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 846-1850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CAITLYN GUGINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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