CLIA lab

CLIA 23D1104688: Michiana Spine Sports & Occupational Rehab PC

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

CLIA number 23D1104688 belongs to Michiana Spine Sports & Occupational Rehab PC in St Joseph, MI.

Certificate of Accreditation, effective February 26, 2026, expires February 25, 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 Accreditation
Certificate effective
February 26, 2026
Certificate expiration
February 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 9, 2009
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Accrediting organizations
COLA
Directly affiliated labs
4

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

Lab and contact

CLIA number
23D1104688
Lab name
Michiana Spine Sports & Occupational Rehab PC
Address
2946 Division Street, St Joseph, MI 49085
Phone
(269) 428-1550

Annual test volume the lab reported

Tests under accreditation
49,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in St Joseph, MI

Related

Questions

What is the CLIA number for Michiana Spine Sports & Occupational Rehab PC in St Joseph?

23D1104688, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Michiana Spine Sports & Occupational Rehab PC hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 23D1104688 expire?

The CMS file lists February 25, 2028 as the certificate expiration date; the certificate took effect February 26, 2026.

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