CLIA lab
CLIA 23D0379543: Western Michigan Pediatrics
Jenison, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0379543 belongs to Western Michigan Pediatrics in Jenison, MI.
Certificate of Waiver, effective January 4, 2025, expires January 3, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 4, 2025
- Certificate expiration
- January 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D0379543
- Lab name
- Western Michigan Pediatrics
- Address
- 1865 Georgetown Center Drive Suite A, Jenison, MI 49428
- Phone
- (616) 457-6196
- Fax
- (616) 457-4660
Annual test volume the lab reported
- Waived tests
- 4,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jenison, MI
- American House of JenisonCertificate of Waiver, Assisted living facility23D2201793
- Corewell Health Geriatric and Special Care -Certificate of Waiver, Physician office23D2168430
- Corewell Health Geriatric and Special Care -Certificate of Waiver, Physician office23D2168433
- Family Fare Pharmacy #1589Certificate of Waiver, Pharmacy23D2084423
- Georgetown Township Fire DepartmentCertificate of Waiver, Mobile lab23D2164362
- Meijer, Inc #26Certificate of Waiver, Pharmacy23D0949632
- Myeyedr Optometry of Michigan, LLCCertificate of Waiver, Physician office23D2301341
- Patient One Care, PLLCCertificate of Waiver, Physician office23D2312721
- Sunset Manor and VillagesCertificate of Waiver, Assisted living facility23D1008120
- Trinity Health Medical Group, Primary Care -Certificate for Provider-Performed Microscopy Procedures, Physician office23D0663402
Related
Questions
What is the CLIA number for Western Michigan Pediatrics in Jenison?
23D0379543, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Western Michigan Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0379543 expire?
The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.