CLIA lab
CLIA 23D0690165: Pediatric Associates of Kentwood PC
Kentwood, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0690165 belongs to Pediatric Associates of Kentwood PC in Kentwood, MI.
Certificate of Waiver, effective April 9, 2025, expires April 8, 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
- April 9, 2025
- Certificate expiration
- April 8, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D0690165
- Lab name
- Pediatric Associates of Kentwood PC
- Address
- 4444 Kalamazoo SE Ste 103, Kentwood, MI 49508
- Phone
- (616) 281-5800
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 Kentwood, MI
- American House KentwoodCertificate of Waiver, Assisted living facility23D2201579
- Breton Rehabilitation & Living CentreCertificate of Waiver, Skilled nursing or nursing facility23D0380684
- Catherine's Health Center atCertificate of Waiver, School or student health service23D2302900
- City of Kentwood Fire DepartmentCertificate of Waiver, Other23D1083362
- Corewell Health Family Medicine - KentwoodCertificate of Waiver, Physician office23D0701628
- Corewell Health GRH Endoscopy - 4100 Lake DRCertificate of Waiver, Ambulatory surgery center23D0988683
- Corewell Health Internal Medicine -Certificate for Provider-Performed Microscopy Procedures, Physician office23D0689094
- FMC Kentwood, LLCCertificate of Waiver, End stage renal disease dialysis facility23D2162814
- Family Fare Pharmacy #265Certificate of Waiver, Pharmacy23D2084480
- Grace Hospice of Grand Rapids LLCCertificate of Waiver, Hospice23D2029984
Related
Questions
What is the CLIA number for Pediatric Associates of Kentwood PC in Kentwood?
23D0690165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Associates of Kentwood PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0690165 expire?
The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.