CLIA lab

CLIA 23D0713205: Grand Traverse Pavilions

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

CLIA number 23D0713205 belongs to Grand Traverse Pavilions in Traverse City, 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 15, 1992
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Government, county
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
23D0713205
Lab name
Grand Traverse Pavilions
Address
1000 Pavilions Circle, Traverse City, MI 49684
Phone
(231) 932-3000
Fax
(231) 932-3149

Annual test volume the lab reported

Waived tests
1,000

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

Care facility at this address

Other labs in Traverse City, MI

Related

Questions

What is the CLIA number for Grand Traverse Pavilions in Traverse City?

23D0713205, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grand Traverse Pavilions hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0713205 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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