23D2294278 CLIA NUMBER - GRAY REIGN MEDICAL

Laboratory Demographics

  • CLIA Code: 23D2294278
  • Facility Name: GRAY REIGN MEDICAL
  • Facility Address: 6255 28TH STREET SUITE 2
    GRAND RAPIDS, MI
    ZIP 49546
  • Facility Phone: 517 862-5207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AFRIYIE GRAY
  • NPI Number: 1134909575
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2294278
LAB Type Physician Office
Facility Name GRAY REIGN MEDICAL
Street 6255 28TH STREET SUITE 2
City GRAND RAPIDS
State MI
ZIP 49546
Phone 517 862-5207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director AFRIYIE GRAY

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