23D2084252 CLIA NUMBER - FOREST HILLS PHARMACY #1400

Laboratory Demographics

  • CLIA Code: 23D2084252
  • Facility Name: FOREST HILLS PHARMACY #1400
  • Facility Address: 4668 CASCADE ROAD
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 949-0170
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY ELLIS
  • NPI Number: 1932554995
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2084252
LAB Type Pharmacy
Facility Name FOREST HILLS PHARMACY #1400
Street 4668 CASCADE ROAD
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 949-0170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Pharmacy
Lab Director AMY ELLIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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