CLIA lab
CLIA 23D2099764: Sam's Pharmacy 10-6319
Kentwood, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2099764 belongs to Sam's Pharmacy 10-6319 in Kentwood, MI.
Certificate of Waiver, effective August 3, 2025, expires August 2, 2027.
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
- August 3, 2025
- Certificate expiration
- August 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 2015
- Facility type
- Pharmacy
- 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
- 23D2099764
- Lab name
- Sam's Pharmacy 10-6319
- Address
- 4326 28th Street SE, Kentwood, MI 49512
- Phone
- (616) 285-3346
- Fax
- (616) 285-7631
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kentwood, MI
- American House KentwoodCertificate of Waiver, Assisted living facility23D2201579
- Breton Rehabilitation & Living CentreCertificate of Waiver, Skilled nursing or nursing facility23D0380684
- Catherine's Health Center atCertificate of Waiver, School or student health service23D2302900
- City of Kentwood Fire DepartmentCertificate of Waiver, Other23D1083362
- Corewell Health Family Medicine - KentwoodCertificate of Waiver, Physician office23D0701628
- Corewell Health GRH Endoscopy - 4100 Lake DRCertificate of Waiver, Ambulatory surgery center23D0988683
- Corewell Health Internal Medicine -Certificate for Provider-Performed Microscopy Procedures, Physician office23D0689094
- FMC Kentwood, LLCCertificate of Waiver, End stage renal disease dialysis facility23D2162814
- Family Fare Pharmacy #265Certificate of Waiver, Pharmacy23D2084480
- Grace Hospice of Grand Rapids LLCCertificate of Waiver, Hospice23D2029984
Related
Questions
What is the CLIA number for Sam's Pharmacy 10-6319 in Kentwood?
23D2099764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Pharmacy 10-6319 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2099764 expire?
The CMS file lists August 2, 2027 as the certificate expiration date; the certificate took effect August 3, 2025.