23D2324850 CLIA NUMBER - GRAND RAPIDS OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 23D2324850
  • Facility Name: GRAND RAPIDS OPHTHALMOLOGY
  • Facility Address: 705 S GREENVILLE WEST
    GREENVILLE, MI
    ZIP 48838
  • Facility Phone: 616 949-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS DUNNING
  • NPI Number: 1265591390
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2324850
LAB Type Physician Office
Facility Name GRAND RAPIDS OPHTHALMOLOGY
Street 705 S GREENVILLE WEST
City GREENVILLE
State MI
ZIP 48838
Phone 616 949-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director THOMAS DUNNING

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