23D2102239 CLIA NUMBER - ALGER HEIGHTS DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2102239
  • Facility Name: ALGER HEIGHTS DIALYSIS
  • Facility Address: 705 28TH STREET
    GRAND RAPIDS, MI
    ZIP 49548
  • Facility Phone: 616 475-0553
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEANNE M. GRATIOT-DEANS
  • NPI Number: 1417333725
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2102239
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ALGER HEIGHTS DIALYSIS
Street 705 28TH STREET
City GRAND RAPIDS
State MI
ZIP 49548
Phone 616 475-0553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEANNE M. GRATIOT-DEANS

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