23D0380410 CLIA NUMBER - GRAND RAPIDS OPCO, LLC

Laboratory Demographics

CLIA Number: 23D0380410

Facility Name: GRAND RAPIDS OPCO, LLC

Facility Address:
2000 LEONARD STREET NE
GRAND RAPIDS, MI
ZIP 49505
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Facility Phone Number: 616 458-1133

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1982691564

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024