CLIA lab
CLIA 23D1066669: Wavecrest
Bangor, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1066669 belongs to Wavecrest in Bangor, MI.
Certificate of Waiver, effective March 29, 2025, expires March 28, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 29, 2025
- Certificate expiration
- March 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2007
- Facility type
- Other
- 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
- 23D1066669
- Lab name
- Wavecrest
- Address
- 28836 63rd Street, Bangor, MI 49013
- Phone
- (269) 427-8400
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bangor, MI
- Anchor Pointe NorthCertificate of Waiver, Other23D1066666
- Anchor Pointe SouthCertificate of Waiver, Other23D1066665
- Bangor Community Fire DeptCertificate of Waiver, Ambulance23D2123418
- Bangor School Based Health CenterCertificate of Waiver, Other23D1051203
- BayviewCertificate of Waiver, Other23D2071200
- Breakwater EastCertificate of Waiver, Other23D1066667
- Breakwater WestCertificate of Waiver, Other23D1066668
- Bronson Lakeview Family Care BangorCertificate for Provider-Performed Microscopy Procedures, Rural health clinic23D0895434
- Intercare Community Health NetworkCertificate of Waiver, Federally qualified health center23D0711442
- Intercare Community Health NetworkCertificate of Waiver, Federally qualified health center23D2086231
Related
Questions
What is the CLIA number for Wavecrest in Bangor?
23D1066669, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wavecrest hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1066669 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.