CLIA lab
CLIA 23D0858110: Crystal Lake Clinic
Benzonia, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0858110 belongs to Crystal Lake Clinic in Benzonia, MI.
Certificate of Waiver, effective November 5, 2024, expires November 4, 2026.
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
- November 5, 2024
- Certificate expiration
- November 4, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 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
- 23D0858110
- Lab name
- Crystal Lake Clinic
- Address
- 6227 Frankfort Highway, Benzonia, MI 49616
- Phone
- (231) 882-9661
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Benzonia, MI
Related
Questions
What is the CLIA number for Crystal Lake Clinic in Benzonia?
23D0858110, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crystal Lake Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0858110 expire?
The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.