23D0380867 CLIA NUMBER - FOREST HILLS PEDIATRIC ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 23D0380867
  • Facility Name: FOREST HILLS PEDIATRIC ASSOCIATES, PC
  • Facility Address: 877 FOREST HILL AVENUE, SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 949-4465
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALISSA ENZENBERGER
  • NPI Number: 1699767343
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0380867
LAB Type Physician Office
Facility Name FOREST HILLS PEDIATRIC ASSOCIATES, PC
Street 877 FOREST HILL AVENUE, SE
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 949-4465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director ALISSA ENZENBERGER

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