23D2127448 CLIA NUMBER - TRILLIUM PALLIATIVE SERVICES

Laboratory Demographics

  • CLIA Code: 23D2127448
  • Facility Name: TRILLIUM PALLIATIVE SERVICES
  • Facility Address: 2100 RAYBROOK SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 616 356-4825
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RENE R. WHEATON
  • NPI Number: 1497014476
  • Taxonomy: 2081H0002X - Physical Medicine & Rehabilitation

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D2127448
LAB Type Community Clinic
Facility Name TRILLIUM PALLIATIVE SERVICES
Street 2100 RAYBROOK SE
City GRAND RAPIDS
State MI
ZIP 49546
Phone 616 356-4825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Community Clinic
Lab Director RENE R. WHEATON

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