23D2098726 CLIA NUMBER - TRINITY HEALTH WORKPLACE HEALTH - GRAND RAPIDS DOWNTOWN

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Laboratory Demographics

CLIA Number: 23D2098726

Facility Name: TRINITY HEALTH WORKPLACE HEALTH - GRAND RAPIDS DOWNTOWN

Facility Address:
150 JEFFERSON AVENUE SE SUITE 110
GRAND RAPIDS, MI
ZIP 49503
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Facility Phone Number: 616 685-3150

Facility Type: Other - WORKPLACE HEALTH

Certificate Type: Waiver

NPI Number: 1972891877

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D2098726
LAB Type	Other - WORKPLACE HEALTH
Facility Name	TRINITY HEALTH WORKPLACE HEALTH - GRAND RAPIDS DOWNTOWN
Street	150 JEFFERSON AVENUE SE SUITE 110
City	GRAND RAPIDS
State	MI
ZIP	49503
Phone	616 685-3150
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024