CLIA lab

CLIA 23D0683833: Parkside Pediatric Clinic

Jackson, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D0683833 belongs to Parkside Pediatric Clinic in Jackson, MI.

Certificate of Waiver, effective October 15, 2025, expires October 14, 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
October 15, 2025
Certificate expiration
October 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 6, 1994
Facility type
Physician office
Ownership (control type)
Proprietary
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
23D0683833
Lab name
Parkside Pediatric Clinic
Address
2100 Fourth Street, Jackson, MI 49203
Phone
(517) 787-4332
Fax
(517) 209-4577

Annual test volume the lab reported

Waived tests
2,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jackson, MI

Related

Questions

What is the CLIA number for Parkside Pediatric Clinic in Jackson?

23D0683833, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Parkside Pediatric Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0683833 expire?

The CMS file lists October 14, 2027 as the certificate expiration date; the certificate took effect October 15, 2025.

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