23D2175778 CLIA NUMBER - HOPE NETWORK BEHAVIORAL HEALTH SERVICES - RIVER VALLEY

Laboratory Demographics

CLIA Code: 23D2175778
Facility Name: HOPE NETWORK BEHAVIORAL HEALTH SERVICES - RIVER VALLEY
Facility Address: 1450 LEONARD STREET NE
GRAND RAPIDS, MI
ZIP 49505
Facility Phone: 616 460-2709
Facility Type: Other - ADULT FOSTER CARE HOME
Facility Type: Waiver
Lab Director: DEB L. MOCK
NPI Number: 1316110406
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	23D2175778
LAB Type	Other - ADULT FOSTER CARE HOME
Facility Name	HOPE NETWORK BEHAVIORAL HEALTH SERVICES - RIVER VALLEY
Street	1450 LEONARD STREET NE
City	GRAND RAPIDS
State	MI
ZIP	49505
Phone	616 460-2709
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/2/2023
Certificate Expiration Date	12/1/2025
Facility Type	Other - ADULT FOSTER CARE HOME
Lab Director	DEB L. MOCK

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