CLIA lab
CLIA 23D0704669: Ravenna Family Practice PC
Ravenna, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0704669 belongs to Ravenna Family Practice PC in Ravenna, MI.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 1995
- Facility type
- Physician office
- Ownership (control type)
- Government, federal
- 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
- 23D0704669
- Lab name
- Ravenna Family Practice PC
- Address
- 12520 Crockery Creek Dr PO Box 179, Ravenna, MI 49451
- Phone
- (616) 853-6089
Other labs in Ravenna, MI
Related
Questions
What is the CLIA number for Ravenna Family Practice PC in Ravenna?
23D0704669, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ravenna Family Practice PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0704669 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.