CLIA lab
CLIA 23D2078721: Boulder Creek Assisted Living
Rockford, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2078721 belongs to Boulder Creek Assisted Living in Rockford, MI.
Certificate of Waiver, effective June 3, 2026, expires June 2, 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 of Waiver
- Certificate effective
- June 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 2014
- Facility type
- Assisted living facility
- 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
- 23D2078721
- Lab name
- Boulder Creek Assisted Living
- Address
- 6070 Northland Drive NE, Rockford, MI 49341
- Phone
- (616) 866-2911
- Fax
- (616) 866-2923
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rockford, MI
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- Brookville Pediatric & Internal MedicineCertificate of Waiver, Physician office23D2039343
- Cannon Township Fire DepartmentCertificate of Waiver, Mobile lab23D2005645
- Corewell Health Family, Internal and PediatricCertificate for Provider-Performed Microscopy Procedures, Physician office23D1003166
- Corewell Health Urgent Care - RockfordCertificate for Provider-Performed Microscopy Procedures, Physician office23D2133349
- Courtland Township Fire DepartmentCertificate of Waiver, Other23D2344629
- Family Fare Pharmacy #1572Certificate of Waiver, Pharmacy23D2084452
- Grand Rapids OphthalmologyCertificate of Waiver, Physician office23D2318476
- Jeffrey R Williamson DO PCCertificate of Waiver, Physician office23D1046091
- Meijer Pharmacy #226Certificate of Waiver, Pharmacy23D1027549
Related
Questions
What is the CLIA number for Boulder Creek Assisted Living in Rockford?
23D2078721, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boulder Creek Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2078721 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.