CLIA lab
CLIA 23D0375770: Ithaca Family Practice
Ithaca, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0375770 belongs to Ithaca Family Practice in Ithaca, MI.
Certificate of Waiver, effective July 26, 2025, expires July 25, 2027.
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 26, 2025
- Certificate expiration
- July 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 7, 1993
- Facility type
- Physician office
- 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
- 23D0375770
- Lab name
- Ithaca Family Practice
- Address
- 820 N Pine River, Ithaca, MI 48847
- Phone
- (989) 875-3722
- Fax
- (989) 875-3732
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.
Other labs in Ithaca, MI
- Gratiot County JailCertificate of Waiver, Other23D2206918
- Gratiot County SheriffCertificate of Waiver, Prison23D2203759
- Mymichigan Family MedicineCertificate of Waiver, Physician office23D0904212
- University of Michigan Health -Certificate of Waiver, Physician office23D0692555
- University of Michigan Health SparrowCertificate of Waiver, Physician office23D1009306
Related
Questions
What is the CLIA number for Ithaca Family Practice in Ithaca?
23D0375770, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ithaca Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0375770 expire?
The CMS file lists July 25, 2027 as the certificate expiration date; the certificate took effect July 26, 2025.