CLIA lab
CLIA 23D0692555: University of Michigan Health -
Ithaca, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0692555 belongs to University of Michigan Health - in Ithaca, MI.
Certificate of Waiver, effective October 23, 2025, expires October 22, 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
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 1993
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 23D0692555
- Lab name
- University of Michigan Health -
- Additional name
- Sparrow Ithaca Primary Care
- Address
- 114 North Main Street, Ithaca, MI 48847
- Phone
- (989) 875-4166
- Fax
- (989) 875-5168
Annual test volume the lab reported
- Waived tests
- 1,200
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
- Ithaca Family PracticeCertificate of Waiver, Physician office23D0375770
- Mymichigan Family MedicineCertificate of Waiver, Physician office23D0904212
- University of Michigan Health SparrowCertificate of Waiver, Physician office23D1009306
Related
Questions
What is the CLIA number for University of Michigan Health - in Ithaca?
23D0692555, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does University of Michigan Health - hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0692555 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.