23D2320455 CLIA NUMBER - CHCC GRAND RAPIDS LLC

Laboratory Demographics

  • CLIA Code: 23D2320455
  • Facility Name: CHCC GRAND RAPIDS LLC
  • Facility Address: 2984 BRADFORD STREET NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Facility Phone: 616 317-8995
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN WOLSCHLEGER
  • NPI Number: 1972315802
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2320455
LAB Type Ambulatory Surgery Center
Facility Name CHCC GRAND RAPIDS LLC
Street 2984 BRADFORD STREET NE
City GRAND RAPIDS
State MI
ZIP 49525
Phone 616 317-8995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Ambulatory Surgery Center
Lab Director KEVIN WOLSCHLEGER

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