23D2318476 CLIA NUMBER - GRAND RAPIDS OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 23D2318476
  • Facility Name: GRAND RAPIDS OPHTHALMOLOGY
  • Facility Address: 6050 NORTHLAND DRIVE
    ROCKFORD, MI
    ZIP 49341
  • Facility Phone: 616 588-6552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS DUNNING
  • NPI Number: 1780093716
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2318476
LAB Type Physician Office
Facility Name GRAND RAPIDS OPHTHALMOLOGY
Street 6050 NORTHLAND DRIVE
City ROCKFORD
State MI
ZIP 49341
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