23D0893493 CLIA NUMBER - CASCADE PEDIATRICS LLP

Laboratory Demographics

  • CLIA Code: 23D0893493
  • Facility Name: CASCADE PEDIATRICS LLP
  • Facility Address: 5150 CASCADE ROAD SE SUITE B
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 940-3168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA B. BROWN
  • NPI Number: 1174639298
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0893493
LAB Type Physician Office
Facility Name CASCADE PEDIATRICS LLP
Street 5150 CASCADE ROAD SE SUITE B
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 940-3168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director LISA B. BROWN

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