CLIA lab

CLIA 23D2264245: Ada Village Pharmacy

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

CLIA number 23D2264245 belongs to Ada Village Pharmacy in Ada, MI.

Certificate of Waiver, effective July 12, 2026, expires July 11, 2028.

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
July 12, 2026
Certificate expiration
July 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 12, 2022
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
23D2264245
Lab name
Ada Village Pharmacy
Address
7505 River Street SE Suite 108, Ada, MI 49301
Phone
(616) 320-4001
Fax
(616) 320-4002

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Ada, MI

Related

Questions

What is the CLIA number for Ada Village Pharmacy in Ada?

23D2264245, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ada Village Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2264245 expire?

The CMS file lists July 11, 2028 as the certificate expiration date; the certificate took effect July 12, 2026.

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