CLIA lab

CLIA 23D2207435: Fairview Grand

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

CLIA number 23D2207435 belongs to Fairview Grand in Grand Ledge, MI.

Certificate of Waiver, effective December 28, 2024, expires December 27, 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 28, 2024
Certificate expiration
December 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 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
23D2207435
Lab name
Fairview Grand
Address
11656 Hartel Rd, Grand Ledge, MI 48837
Phone
(517) 622-1009
Fax
(517) 622-4093

Annual test volume the lab reported

Waived tests
6,000

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 Fairview Grand in Grand Ledge?

23D2207435, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fairview Grand hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2207435 expire?

The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.

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