23D2293834 CLIA NUMBER - GODWIN HEIGHTS SENIOR HIGH SCHOOL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 23D2293834
  • Facility Name: GODWIN HEIGHTS SENIOR HIGH SCHOOL HEALTH CENTER
  • Facility Address: 50 35TH STREET SW
    GRAND RAPIDS, MI
    ZIP 49548
  • Facility Phone: 616 295-7750
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JENNY BUSH
  • NPI Number: 1104423508
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2293834
LAB Type Federally Qualified Health Center
Facility Name GODWIN HEIGHTS SENIOR HIGH SCHOOL HEALTH CENTER
Street 50 35TH STREET SW
City GRAND RAPIDS
State MI
ZIP 49548
Phone 616 295-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Federally Qualified Health Center
Lab Director JENNY BUSH

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