CLIA lab
CLIA 23D1071912: Age Management of West Michigan
Grand Rapids, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1071912 belongs to Age Management of West Michigan in Grand Rapids, MI.
Certificate for Provider-Performed Microscopy Procedures, effective October 21, 2026, expires October 20, 2028.
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
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 6, 2007
- 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
- 23D1071912
- Lab name
- Age Management of West Michigan
- Address
- 1959 East Paris Ave SE, Grand Rapids, MI 49546
- Phone
- (616) 808-2695
- Fax
- (616) 808-2697
Annual test volume the lab reported
- Provider-performed microscopy tests
- 2,000
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 Age Management of West Michigan in Grand Rapids?
23D1071912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Age Management of West Michigan hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D1071912 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.