CLIA lab

CLIA 23D1046091: Jeffrey R Williamson DO PC

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

CLIA number 23D1046091 belongs to Jeffrey R Williamson DO PC in Rockford, MI.

Certificate of Waiver, effective January 28, 2025, expires January 27, 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 28, 2025
Certificate expiration
January 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2005
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
23D1046091
Lab name
Jeffrey R Williamson DO PC
Address
6785 Myers Lake Ave NE, Rockford, MI 49341
Phone
(616) 884-5191
Fax
(616) 884-5192

Annual test volume the lab reported

Waived tests
500

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

Other labs in Rockford, MI

Related

Questions

What is the CLIA number for Jeffrey R Williamson DO PC in Rockford?

23D1046091, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jeffrey R Williamson DO PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D1046091 expire?

The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.

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