CLIA lab
CLIA 23D0964498: Lake Shore Internal Medicine
Port Sanilac, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0964498 belongs to Lake Shore Internal Medicine in Port Sanilac, MI.
Certificate for Provider-Performed Microscopy Procedures, effective August 26, 2025, expires August 25, 2027.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 1999
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 23D0964498
- Lab name
- Lake Shore Internal Medicine
- Address
- 7307 Cherry Street, P O 470, Port Sanilac, MI 48469
- Phone
- (810) 622-9248
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Port Sanilac, MI
Related
Questions
What is the CLIA number for Lake Shore Internal Medicine in Port Sanilac?
23D0964498, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Shore Internal Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D0964498 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.