23D1004532 CLIA NUMBER - SPECIAL CARE HOSPITAL, LLC

Laboratory Demographics

  • CLIA Code: 23D1004532
  • Facility Name: SPECIAL CARE HOSPITAL, LLC
  • Facility Address: 1840 WEALTHY STREET, SE, 5TH FLOOR
    GRAND RAPIDS, MI
    ZIP 49506
  • Facility Phone: 616 774-3800
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KATHLEEN S. SIMMONS
  • NPI Number: 1972032209
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 23D1004532
LAB Type Hospital
Facility Name SPECIAL CARE HOSPITAL, LLC
Street 1840 WEALTHY STREET, SE, 5TH FLOOR
City GRAND RAPIDS
State MI
ZIP 49506
Phone 616 774-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Hospital
Lab Director KATHLEEN S. SIMMONS

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