23D2278221 CLIA NUMBER - TRINITY HEALTH GRAND RAPIDS

Laboratory Demographics

  • CLIA Code: 23D2278221
  • Facility Name: TRINITY HEALTH GRAND RAPIDS
  • Facility Address: 250 CHERRY STREET SE ENDOSCOPY
    GRAND RAPIDS, MI
    ZIP 49503
  • Facility Phone: 616 685-6433
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JAMES F. ROSENBAUM
  • NPI Number: 1447960299
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2278221
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRINITY HEALTH GRAND RAPIDS
Street 250 CHERRY STREET SE ENDOSCOPY
City GRAND RAPIDS
State MI
ZIP 49503
Phone 616 685-6433
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 Ancillary Testing Site in Health Care Center
Lab Director JAMES F. ROSENBAUM

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