CLIA lab
CLIA 23D2084454: Family Fare Pharmacy #1579
Grandville, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2084454 belongs to Family Fare Pharmacy #1579 in Grandville, 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
- 23D2084454
- Lab name
- Family Fare Pharmacy #1579
- Address
- 3960 44th Street SW, Grandville, MI 49418
- Phone
- (616) 530-4590
- Fax
- (616) 530-4580
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 Grandville, MI
- Biolife Plasma Services L PCertificate of Compliance, Other23D2078501
- Community Caregivers and Health Care AssociatesCertificate of Waiver, Home health agency23D0902460
- Corewell Health Family Medicine, InternalCertificate for Provider-Performed Microscopy Procedures, Physician office23D1068822
- Corewell Health Imaging - GrandvilleCertificate of Waiver, Ancillary test site23D1093971
- Corewell Health Obstetrics & Gynecology -Certificate for Provider-Performed Microscopy Procedures, Physician office23D0983646
- Georgetown & Cambridge ManorsCertificate of Waiver, Assisted living facility23D1080303
- Grand Primary CareCertificate of Waiver, Physician office23D2325871
- Grand Rapids OphthalmologyCertificate of Waiver, Physician office23D2324854
- Grand Village Assisted LivingCertificate of Waiver, Assisted living facility23D2139144
- Grandville Fire DepartmentCertificate of Waiver, Other23D1082501
Related
Questions
What is the CLIA number for Family Fare Pharmacy #1579 in Grandville?
23D2084454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Fare Pharmacy #1579 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2084454 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.