23D2061942 CLIA NUMBER - BELTLINE HOME TRAINING

Laboratory Demographics

  • CLIA Code: 23D2061942
  • Facility Name: BELTLINE HOME TRAINING
  • Facility Address: 330 E BELTLINE AVE NE SUITE 210
    GRAND RAPIDS, MI
    ZIP 49506
  • Facility Phone: 615 320-4214
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IMAD AHMED
  • NPI Number: 1285072447
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2061942
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BELTLINE HOME TRAINING
Street 330 E BELTLINE AVE NE SUITE 210
City GRAND RAPIDS
State MI
ZIP 49506
Phone 615 320-4214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IMAD AHMED

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