CLIA lab

CLIA 23D0958965: Kingston Family Practice

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

CLIA number 23D0958965 belongs to Kingston Family Practice in Kingston, MI.

Certificate of Waiver, effective April 4, 2026, expires April 3, 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
April 4, 2026
Certificate expiration
April 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 31, 1999
Facility type
Rural health clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D0958965
Lab name
Kingston Family Practice
Address
5854 State Street, Kingston, MI 48741
Phone
(989) 683-8065
Fax
(989) 683-8088

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.

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Kingston Family Practice in Kingston?

23D0958965, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kingston Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0958965 expire?

The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.

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