CLIA lab

CLIA 23D1040817: Great Lakes Pediatric Associates

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

CLIA number 23D1040817 belongs to Great Lakes Pediatric Associates in Lansing, MI.

Certificate of Waiver, effective May 18, 2025, expires May 17, 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 18, 2025
Certificate expiration
May 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 18, 2005
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
23D1040817
Lab name
Great Lakes Pediatric Associates
Address
3400 Pine Tree Road Suite 102, Lansing, MI 48911
Phone
(517) 887-3000
Fax
(517) 887-6940

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 Lansing, MI

Related

Questions

What is the CLIA number for Great Lakes Pediatric Associates in Lansing?

23D1040817, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Great Lakes Pediatric Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D1040817 expire?

The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.

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