23D2029609 CLIA NUMBER - KENT COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 23D2029609
  • Facility Name: KENT COUNTY HEALTH DEPARTMENT
  • Facility Address: 700 FULLER AVENUE NE
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 632-6891
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: KRISTIN S. OLDENBERG
  • NPI Number: 1396404588
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2029609
LAB Type Public Health Laboratories
Facility Name KENT COUNTY HEALTH DEPARTMENT
Street 700 FULLER AVENUE NE
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 632-6891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Public Health Laboratories
Lab Director KRISTIN S. OLDENBERG

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