CLIA lab

CLIA 23D2084468: Family Fare Pharmacy #122

Holland, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D2084468 belongs to Family Fare Pharmacy #122 in Holland, 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
23D2084468
Lab name
Family Fare Pharmacy #122
Address
993 Butternut Drive, Holland, MI 49424
Phone
(616) 399-4100
Fax
(616) 399-9645

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 Holland, MI

Related

Questions

What is the CLIA number for Family Fare Pharmacy #122 in Holland?

23D2084468, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Fare Pharmacy #122 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2084468 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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