23D2205591 CLIA NUMBER - GRAND VALLEY STATE UNIVERSITY

Laboratory Demographics

  • CLIA Code: 23D2205591
  • Facility Name: GRAND VALLEY STATE UNIVERSITY
  • Facility Address: 1 CAMPUS DRIVE
    ALLENDALE, MI
    ZIP 49401
  • Facility Phone: (616) 331-6840
  • Facility Type: Other - IN HOUSE TEST LAB
  • Facility Type: Waiver
  • Lab Director: ROBERT P. SMART
  • NPI Number: 1518019223
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2205591
LAB Type Other - IN HOUSE TEST LAB
Facility Name GRAND VALLEY STATE UNIVERSITY
Street 1 CAMPUS DRIVE
City ALLENDALE
State MI
ZIP 49401
Phone 6163316840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - IN HOUSE TEST LAB
Lab Director ROBERT P. SMART

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This page was last updated on: 6/29/2026