23D2329735 CLIA NUMBER - SILVER BIRCH PSYCHIATRY SERVICES

Laboratory Demographics

  • CLIA Code: 23D2329735
  • Facility Name: SILVER BIRCH PSYCHIATRY SERVICES
  • Facility Address: 1400 LEONARD STREET NE
    GRAND RAPIDS, MI
    ZIP 49505
  • Facility Phone: 616 217-4435
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROSE A. PETERMAN ROBLYER
  • NPI Number: 1801777024
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D2329735
LAB Type Practitioner Other
Facility Name SILVER BIRCH PSYCHIATRY SERVICES
Street 1400 LEONARD STREET NE
City GRAND RAPIDS
State MI
ZIP 49505
Phone 616 217-4435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Practitioner Other
Lab Director ROSE A. PETERMAN ROBLYER

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