23D2119273 CLIA NUMBER - TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - EAST PARIS

Laboratory Demographics

  • CLIA Code: 23D2119273
  • Facility Name: TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - EAST PARIS
  • Facility Address: 2144 E PARIS AVENUE SE SUITE 200
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 685-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA LANDON
  • NPI Number: 1083239974
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2119273
LAB Type Physician Office
Facility Name TRINITY HEALTH MEDICAL GROUP, PRIMARY CARE - EAST PARIS
Street 2144 E PARIS AVENUE SE SUITE 200
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 685-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director ANDREA LANDON

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