CLIA lab
CLIA 23D1102189: Evergreen Terrace Assisted Living
Big Rapids, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1102189 belongs to Evergreen Terrace Assisted Living in Big Rapids, MI.
Certificate of Waiver, effective July 14, 2025, expires July 13, 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
- July 14, 2025
- Certificate expiration
- July 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 2009
- Facility type
- Assisted living facility
- Ownership (control type)
- Other
- 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
- 23D1102189
- Lab name
- Evergreen Terrace Assisted Living
- Address
- 801 Fuller Avenue, Big Rapids, MI 49307
- Phone
- (616) 719-5100
- Fax
- (866) 339-0380
Annual test volume the lab reported
- Waived tests
- 5,000
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 Evergreen Terrace Assisted Living in Big Rapids?
23D1102189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Terrace Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1102189 expire?
The CMS file lists July 13, 2027 as the certificate expiration date; the certificate took effect July 14, 2025.