23D2304360 CLIA NUMBER - OUR HOPE ASSCIATION

Laboratory Demographics

  • CLIA Code: 23D2304360
  • Facility Name: OUR HOPE ASSCIATION
  • Facility Address: 1256 WALKER AVENUE NW
    GRAND RAPIDS, MI
    ZIP 49504
  • Facility Phone: 616 451-2039
  • Facility Type: Other - SUBSTANCE USE DISORDER
  • Facility Type: Waiver
  • Lab Director: ERICA L. PORTER
  • NPI Number: 1427115336
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2304360
LAB Type Other - SUBSTANCE USE DISORDER
Facility Name OUR HOPE ASSCIATION
Street 1256 WALKER AVENUE NW
City GRAND RAPIDS
State MI
ZIP 49504
Phone 616 451-2039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Other - SUBSTANCE USE DISORDER
Lab Director ERICA L. PORTER

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