CLIA lab
CLIA 23D2159363: Promedico - Grand Haven Health and Wellness Clinic
Grand Haven, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2159363 belongs to Promedico - Grand Haven Health and Wellness Clinic in Grand Haven, MI.
Certificate of Waiver, effective December 18, 2024, expires December 17, 2026.
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
- December 18, 2024
- Certificate expiration
- December 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2018
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2159363
- Lab name
- Promedico - Grand Haven Health and Wellness Clinic
- Address
- 2125 168th Ave, Grand Haven, MI 49417
- Phone
- (844) 208-2798
- Fax
- (616) 466-7912
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Grand Haven, MI
- Abiding Health Concierge Medicine LLCCertificate of Waiver, Physician office23D2349789
- Action ChiropracticCertificate of Waiver, Other practitioner23D2333271
- Christian Haven HomeCertificate of Waiver, Assisted living facility23D2203760
- Corewell Health Family Medicine & InternalCertificate for Provider-Performed Microscopy Procedures, Physician office23D2142340
- Corewell Health General Surgery - Grand HavenCertificate of Waiver, Ambulatory surgery center23D2143386
- Corewell Occupational Health Onsite ServicesCertificate of Waiver, School or student health service23D2272224
- D & W Pharmacy #1570Certificate of Waiver, Pharmacy23D2084295
- Forefront Dermatology, S CCertificate for Provider-Performed Microscopy Procedures, Physician office23D2131511
- Grand Haven Department of Public SafetyCertificate of Waiver, Other23D2129220
- Grand Haven Opco, LLCCertificate of Waiver, Skilled nursing or nursing facility23D0379293
Related
Questions
What is the CLIA number for Promedico - Grand Haven Health and Wellness Clinic in Grand Haven?
23D2159363, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedico - Grand Haven Health and Wellness Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2159363 expire?
The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.