CLIA lab

CLIA 23D2339511: Miph - Roskam Foods

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

CLIA number 23D2339511 belongs to Miph - Roskam Foods in Kentwood, MI.

Certificate of Waiver, effective March 3, 2026, expires March 2, 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
March 3, 2026
Certificate expiration
March 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 3, 2026
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D2339511
Lab name
Miph - Roskam Foods
Address
5565 Broadmoor Avenue SE, Kentwood, MI 49512
Phone
(616) 320-0096
Fax
(616) 320-0097

Annual test volume the lab reported

Waived tests
50

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

Affiliated CLIA numbers

Other labs in Kentwood, MI

Related

Questions

What is the CLIA number for Miph - Roskam Foods in Kentwood?

23D2339511, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Miph - Roskam Foods hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2339511 expire?

The CMS file lists March 2, 2028 as the certificate expiration date; the certificate took effect March 3, 2026.

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