CLIA lab
CLIA 23D2002021: Crystal Lake Clinic PC
Kingsley, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2002021 belongs to Crystal Lake Clinic PC in Kingsley, MI.
Certificate of Waiver, effective January 6, 2026, expires January 5, 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 Waiver
- Certificate effective
- January 6, 2026
- Certificate expiration
- January 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 2010
- 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
- 23D2002021
- Lab name
- Crystal Lake Clinic PC
- Address
- 2283 M 113 East, Kingsley, MI 49649
- Phone
- (231) 263-0700
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kingsley, MI
Related
Questions
What is the CLIA number for Crystal Lake Clinic PC in Kingsley?
23D2002021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crystal Lake Clinic PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2002021 expire?
The CMS file lists January 5, 2028 as the certificate expiration date; the certificate took effect January 6, 2026.