CLIA lab
CLIA 23D2080933: Breton Village Pediatrics & Family Medicine
Grand Rapids, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2080933 belongs to Breton Village Pediatrics & Family Medicine in Grand Rapids, MI.
Certificate of Waiver, effective July 16, 2026, expires July 15, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 16, 2026
- Certificate expiration
- July 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2014
- 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
- 23D2080933
- Lab name
- Breton Village Pediatrics & Family Medicine
- Address
- 2460 Burton Street SE, Suite 300, Grand Rapids, MI 49546
- Phone
- (616) 805-3846
- Fax
- (616) 551-1002
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 Grand Rapids, MI
- A Plus Medical Associates, PLLCCertificate of Waiver, Physician office23D0886169
- Addiction Medicine of West MichiganCertificate of Waiver, Physician office23D2342544
- Advanced Plastic SurgeryCertificate of Waiver, Ambulatory surgery center23D2218739
- Aesthetic Physician, P CCertificate of Waiver, Physician office23D2268532
- Age Management of West MichiganCertificate for Provider-Performed Microscopy Procedures, Physician office23D1071912
- Alger Heights DialysisCertificate of Waiver, End stage renal disease dialysis facility23D2102239
- Alger Pediatrics, P CCertificate of Waiver, Physician office23D0858924
- Alpha Grand RapidsCertificate of Waiver, Community clinic23D0990102
- Amc Mobile AnesthesiaCertificate of Waiver, Other23D2008765
- American Medical ResponseCertificate of Waiver, Ambulance23D0891959
Related
Questions
What is the CLIA number for Breton Village Pediatrics & Family Medicine in Grand Rapids?
23D2080933, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Breton Village Pediatrics & Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2080933 expire?
The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.