23D0380410 CLIA NUMBER - GRAND RAPIDS OPCO, LLC

Laboratory Demographics

  • CLIA Code: 23D0380410
  • Facility Name: GRAND RAPIDS OPCO, LLC
  • Facility Address: 2000 LEONARD STREET NE
    GRAND RAPIDS, MI
    ZIP 49505
  • Facility Phone: 616 458-1133
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTI O NEILL
  • NPI Number: 1982691564
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0380410
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRAND RAPIDS OPCO, LLC
Street 2000 LEONARD STREET NE
City GRAND RAPIDS
State MI
ZIP 49505
Phone 616 458-1133
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 KRISTI O NEILL

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