23D0380125 CLIA NUMBER - CHERRY STREET HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D0380125
  • Facility Name: CHERRY STREET HEALTH CENTER
  • Facility Address: 550 CHERRY STREET SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 965-8200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DYLAN STREB
  • NPI Number: 1316340094
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0380125
LAB Type Federally Qualified Health Center
Facility Name CHERRY STREET HEALTH CENTER
Street 550 CHERRY STREET SE
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 965-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Federally Qualified Health Center
Lab Director DYLAN STREB

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