23D2238690 CLIA NUMBER - NEURORESTORATIVE MICHIGAN - GRAND RAPIDS

Laboratory Demographics

  • CLIA Code: 23D2238690
  • Facility Name: NEURORESTORATIVE MICHIGAN - GRAND RAPIDS
  • Facility Address: 3152 PERGRINE DRIVE N E SUITE 115
    GRAND RAPIDS, MI
    ZIP 49525
  • Facility Phone: 616 643-0833
  • Facility Type: Other - OUT REHAB & HOME BASE
  • Facility Type: Waiver
  • Lab Director: KIMBERLEY PASZKOWSKI
  • NPI Number: 1992332621
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2238690
LAB Type Other - OUT REHAB & HOME BASE
Facility Name NEURORESTORATIVE MICHIGAN - GRAND RAPIDS
Street 3152 PERGRINE DRIVE N E SUITE 115
City GRAND RAPIDS
State MI
ZIP 49525
Phone 616 643-0833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Other - OUT REHAB & HOME BASE
Lab Director KIMBERLEY PASZKOWSKI

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