CLIA lab
CLIA 23D0881703: Kim Mccullough MD
Sault Sainte Marie, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0881703 belongs to Kim Mccullough MD in Sault Sainte Marie, MI.
Certificate of Waiver, effective January 17, 2026, expires January 16, 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
- January 17, 2026
- Certificate expiration
- January 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 1994
- 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
- 23D0881703
- Lab name
- Kim Mccullough MD
- Address
- 550 Osborn Suite 2600, Sault Sainte Marie, MI 49783
- Phone
- (906) 635-1048
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sault Sainte Marie, MI
- Chippewa County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory23D2028514
- Chippewa County JailCertificate of Waiver, Prison23D2036330
- City of Sault Ste Marie Fire DepartmentCertificate of Waiver, Ambulance23D1060782
- Compass Pregnancy & Family Resource CenterCertificate of Waiver, Other23D2071202
- Freighter View Assisted LivingCertificate of Waiver, Assisted living facility23D2203874
- Jeffrey Peterman, MD, PCCertificate of Waiver, Physician office23D0994883
- Lake Superior State UniversityCertificate of Waiver, Physician office23D0381932
- Meijer Pharmacy #293Certificate of Waiver, Pharmacy23D2126657
- Mymichigan Community Care - SaultCertificate of Waiver, Community clinic23D2116636
- Mymichigan Medical Center Sault Long Term CareCertificate of Waiver, Skilled nursing or nursing facility23D2335314
Related
Questions
What is the CLIA number for Kim Mccullough MD in Sault Sainte Marie?
23D0881703, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kim Mccullough MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0881703 expire?
The CMS file lists January 16, 2028 as the certificate expiration date; the certificate took effect January 17, 2026.