CLIA lab
CLIA 23D2042383: Walgreens #05117
Jenison, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2042383 belongs to Walgreens #05117 in Jenison, MI.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 2012
- Facility type
- Pharmacy
- 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
- 23D2042383
- Lab name
- Walgreens #05117
- Address
- 378 Baldwin Street, Jenison, MI 49428
- Phone
- (616) 667-8695
- Fax
- (616) 667-8693
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jenison, MI
- American House of JenisonCertificate of Waiver, Assisted living facility23D2201793
- Corewell Health Geriatric and Special Care -Certificate of Waiver, Physician office23D2168430
- Corewell Health Geriatric and Special Care -Certificate of Waiver, Physician office23D2168433
- Family Fare Pharmacy #1589Certificate of Waiver, Pharmacy23D2084423
- Georgetown Township Fire DepartmentCertificate of Waiver, Mobile lab23D2164362
- Meijer, Inc #26Certificate of Waiver, Pharmacy23D0949632
- Myeyedr Optometry of Michigan, LLCCertificate of Waiver, Physician office23D2301341
- Patient One Care, PLLCCertificate of Waiver, Physician office23D2312721
- Sunset Manor and VillagesCertificate of Waiver, Assisted living facility23D1008120
- Trinity Health Medical Group, Primary Care -Certificate for Provider-Performed Microscopy Procedures, Physician office23D0663402
Related
Questions
What is the CLIA number for Walgreens #05117 in Jenison?
23D2042383, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #05117 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2042383 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.