CLIA lab

CLIA 23D2099778: Sam's Pharmacy 10-6359

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

CLIA number 23D2099778 belongs to Sam's Pharmacy 10-6359 in Comstock Park, 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

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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
23D2099778
Lab name
Sam's Pharmacy 10-6359
Address
3901 Alpine Avenue NW, Comstock Park, MI 49321
Phone
(616) 647-9302
Fax
(616) 647-9820

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.

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Related

Questions

What is the CLIA number for Sam's Pharmacy 10-6359 in Comstock Park?

23D2099778, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sam's Pharmacy 10-6359 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2099778 expire?

The CMS file lists August 2, 2027 as the certificate expiration date; the certificate took effect August 3, 2025.

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