CLIA lab
CLIA 23D0663402: Trinity Health Medical Group, Primary Care -
Jenison, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0663402 belongs to Trinity Health Medical Group, Primary Care - in Jenison, MI.
Certificate for Provider-Performed Microscopy Procedures, effective December 29, 2024, expires December 28, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D0663402
- Lab name
- Trinity Health Medical Group, Primary Care -
- Additional name
- Jenison
- Address
- 7782 20th Ave, Jenison, MI 49428
- Phone
- (616) 685-8700
- Fax
- (616) 457-5567
Annual test volume the lab reported
- Waived tests
- 3,145
- Provider-performed microscopy tests
- 100
- Total
- 3,245
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Trinity Health Medical Group, Primary Care - in Jenison?
23D0663402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Trinity Health Medical Group, Primary Care - hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D0663402 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.