23D0380581 CLIA NUMBER - GRAND RAPIDS SNF, LLC

Laboratory Demographics

  • CLIA Code: 23D0380581
  • Facility Name: GRAND RAPIDS SNF, LLC
  • Facility Address: 2320 E BELTLINE AVENUE SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 949-3000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DESHONIQUE MILLER
  • NPI Number: 1205325834
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0380581
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRAND RAPIDS SNF, LLC
Street 2320 E BELTLINE AVENUE SE
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 949-3000
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 DESHONIQUE MILLER

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