23D2129220 CLIA NUMBER - GRAND HAVEN DEPARTMENT OF PUBLIC SAFETY

Laboratory Demographics

  • CLIA Code: 23D2129220
  • Facility Name: GRAND HAVEN DEPARTMENT OF PUBLIC SAFETY
  • Facility Address: 525 WASHINGTON AVENUE
    GRAND HAVEN, MI
    ZIP 49417
  • Facility Phone: 616 842-3460
  • Facility Type: Other - FIRE DEPARTMENT
  • Facility Type: Waiver
  • Lab Director: NICHOLE HUDSON
  • NPI Number: 1134653371
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 23D2129220
LAB Type Other - FIRE DEPARTMENT
Facility Name GRAND HAVEN DEPARTMENT OF PUBLIC SAFETY
Street 525 WASHINGTON AVENUE
City GRAND HAVEN
State MI
ZIP 49417
Phone 616 842-3460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Other - FIRE DEPARTMENT
Lab Director NICHOLE HUDSON

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This page was last updated on: 6/4/2025