23D0937763 CLIA NUMBER - BELKNAP COMMONS DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 23D0937763
  • Facility Name: BELKNAP COMMONS DENTAL CENTER
  • Facility Address: 751 LAFAYETTE NE
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 295-7750
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY HILL
  • NPI Number: 1154495901
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0937763
LAB Type Federally Qualified Health Center
Facility Name BELKNAP COMMONS DENTAL CENTER
Street 751 LAFAYETTE NE
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 295-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Federally Qualified Health Center
Lab Director TIMOTHY HILL

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