23D0662855 CLIA NUMBER - OPTALIS HEALTH & REHABILITATION OF GRAND RAPIDS

Laboratory Demographics

  • CLIA Code: 23D0662855
  • Facility Name: OPTALIS HEALTH & REHABILITATION OF GRAND RAPIDS
  • Facility Address: 1950 32ND STREET
    GRAND RAPIDS, MI
    ZIP 49508
  • Facility Phone: 616 284-5722
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BETTY KORTMAN
  • NPI Number: 1750374914
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0662855
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OPTALIS HEALTH & REHABILITATION OF GRAND RAPIDS
Street 1950 32ND STREET
City GRAND RAPIDS
State MI
ZIP 49508
Phone 616 284-5722
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 BETTY KORTMAN

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