CLIA lab
CLIA 23D0708812: Boulder Park Terrace
Charlevoix, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0708812 belongs to Boulder Park Terrace in Charlevoix, 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
- December 28, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 23D0708812
- Lab name
- Boulder Park Terrace
- Address
- 14676 West Upright Avenue, Charlevoix, MI 49720
- Phone
- (231) 237-8009
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Charlevoix, MI
- Advisacare Solutions of Northern Michigan, LLCCertificate of Waiver, Home health agency23D2181284
- Central Drug StoreCertificate of Waiver, Pharmacy23D1078666
- Charlevoix Elementary SchoolCertificate of Waiver, School or student health service23D2205160
- Health Department of Northwest MichiganCertificate for Provider-Performed Microscopy Procedures, Public health laboratory23D2027697
- Lake Charlevoix Emergency MedicalCertificate of Waiver, Ambulance23D2078842
- Munson Healthcare Charlevoix Hospital LaboratoryCertificate of Accreditation, Hospital23D0038011
- Munson Healthcare Charlevoix PediatricsCertificate of Waiver, Physician office23D2119847
- Munson Healthcare Charlevoix Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office23D0682121
- Munson Healthcare Charlevoix UrologyCertificate of Waiver, Physician office23D2152305
- Munson Healthcare Charlevoix Walk-In ClinicCertificate of Waiver, Physician office23D0381587
Related
Questions
What is the CLIA number for Boulder Park Terrace in Charlevoix?
23D0708812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boulder Park Terrace hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0708812 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.