CLIA lab
CLIA 23D2204700: Willow Grove
Sand Lake, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2204700 belongs to Willow Grove in Sand Lake, MI.
Certificate of Waiver, effective December 10, 2024, expires December 9, 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 10, 2024
- Certificate expiration
- December 9, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 2020
- Facility type
- Assisted living facility
- 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
- 23D2204700
- Lab name
- Willow Grove
- Address
- 8180 19 Mile Rd, Sand Lake, MI 49343
- Phone
- (616) 822-8756
- Fax
- (616) 696-1713
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.
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Related
Questions
What is the CLIA number for Willow Grove in Sand Lake?
23D2204700, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willow Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2204700 expire?
The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.