23D0959092 CLIA NUMBER - WESTSIDE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D0959092
  • Facility Name: WESTSIDE HEALTH CENTER
  • Facility Address: 669 STOCKING AVE NW
    GRAND RAPIDS, MI
    ZIP 49504
  • Facility Phone: 616 295-7750
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: REBECCA A. VANVALKENBURG
  • NPI Number: 1891867495
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0959092
LAB Type Federally Qualified Health Center
Facility Name WESTSIDE HEALTH CENTER
Street 669 STOCKING AVE NW
City GRAND RAPIDS
State MI
ZIP 49504
Phone 616 295-7750
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Federally Qualified Health Center
Lab Director REBECCA A. VANVALKENBURG

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