CLIA lab
CLIA 23D2084423: Family Fare Pharmacy #1589
Jenison, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2084423 belongs to Family Fare Pharmacy #1589 in Jenison, MI.
Certificate of Waiver, effective September 24, 2026, expires September 23, 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
- September 24, 2026
- Certificate expiration
- September 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2014
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2084423
- Lab name
- Family Fare Pharmacy #1589
- Address
- 1965 Baldwin Street, Jenison, MI 49428
- Phone
- (616) 457-9630
- Fax
- (616) 457-1120
Annual test volume the lab reported
- Waived tests
- 50
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
- 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
- University of Michigan Health-WestCertificate for Provider-Performed Microscopy Procedures, Physician office23D0379542
Related
Questions
What is the CLIA number for Family Fare Pharmacy #1589 in Jenison?
23D2084423, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Fare Pharmacy #1589 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2084423 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.