CLIA lab
CLIA 23D1030472: Rivertown Medical Clinic
Cheboygan, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1030472 belongs to Rivertown Medical Clinic in Cheboygan, MI.
Certificate of Waiver, effective May 15, 2025, expires May 14, 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 of Waiver
- Certificate effective
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2004
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 23D1030472
- Lab name
- Rivertown Medical Clinic
- Address
- 920 S Huron Street, Cheboygan, MI 49721
- Phone
- (231) 597-8192
- Fax
- (231) 597-0217
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Rivertown Medical Clinic in Cheboygan?
23D1030472, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rivertown Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1030472 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.