23D2125494 CLIA NUMBER - NETWORK 180

Laboratory Demographics

  • CLIA Code: 23D2125494
  • Facility Name: NETWORK 180
  • Facility Address: 790 FULLER AVENUE NE
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 336-3909
  • Facility Type: Other - COMM MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: ERIC D. ACHTYES
  • NPI Number: 1134212442
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2125494
LAB Type Other - COMM MENTAL HEALTH
Facility Name NETWORK 180
Street 790 FULLER AVENUE NE
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 336-3909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Other - COMM MENTAL HEALTH
Lab Director ERIC D. ACHTYES

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