23D0380155 CLIA NUMBER - GRAND RIVER GASTROENTEROLOGY

Laboratory Demographics

  • CLIA Code: 23D0380155
  • Facility Name: GRAND RIVER GASTROENTEROLOGY
  • Facility Address: 310 LAFAYETTE ST SE STE 400
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 774-6525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN A. CRANE
  • NPI Number: 1164470472
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0380155
LAB Type Physician Office
Facility Name GRAND RIVER GASTROENTEROLOGY
Street 310 LAFAYETTE ST SE STE 400
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 774-6525
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 Physician Office
Lab Director STEVEN A. CRANE

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