CLIA lab
CLIA 23D2003991: Memorial Healthcare Family Medicine - King ST
Owosso, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2003991 belongs to Memorial Healthcare Family Medicine - King ST in Owosso, MI.
Certificate for Provider-Performed Microscopy Procedures, effective February 23, 2026, expires February 22, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 23, 2026
- Certificate expiration
- February 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2010
- 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
- 23D2003991
- Lab name
- Memorial Healthcare Family Medicine - King ST
- Address
- 818 W King Street Suite 100, Owosso, MI 48867
- Phone
- (989) 725-8171
- Fax
- (989) 723-1257
Annual test volume the lab reported
- Waived tests
- 30,000
- Provider-performed microscopy tests
- 15,000
- Total
- 45,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Convenient Urgent CareCertificate of Waiver, Other23D2070358
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- Fresenius Kidney Care Owosso HomeCertificate of Waiver, End stage renal disease dialysis facility23D2184466
- Great Lakes Bay Health CentersCertificate of Waiver, Federally qualified health center23D2037221
- Great Lakes Bay Health Centers ShiawasseeCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center23D1082877
- Hass Vision CenterCertificate of Waiver, Other practitioner23D2044224
- John R Behm, DOCertificate of Waiver, Physician office23D0964990
- Justin Marone DOCertificate for Provider-Performed Microscopy Procedures, Physician office23D0894106
- Manjali S Shastry MD PCCertificate of Waiver, Physician office23D1078876
Related
Questions
What is the CLIA number for Memorial Healthcare Family Medicine - King ST in Owosso?
23D2003991, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Healthcare Family Medicine - King ST hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D2003991 expire?
The CMS file lists February 22, 2028 as the certificate expiration date; the certificate took effect February 23, 2026.