23D2318472 CLIA NUMBER - GRAND RAPIDS OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 23D2318472
  • Facility Name: GRAND RAPIDS OPHTHALMOLOGY
  • Facility Address: 80 68TH STREET
    GRAND RAPIDS, MI
    ZIP 49548
  • Facility Phone: 616 588-6552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS DUNNING
  • NPI Number: 1396804571
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 23D2318472
LAB Type Physician Office
Facility Name GRAND RAPIDS OPHTHALMOLOGY
Street 80 68TH STREET
City GRAND RAPIDS
State MI
ZIP 49548
Phone 616 588-6552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director THOMAS DUNNING

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