CLIA lab
CLIA 23D2036348: Crystal Lake Clinic PC
Manistee, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2036348 belongs to Crystal Lake Clinic PC in Manistee, MI.
Certificate of Waiver, effective February 7, 2026, expires February 6, 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
- February 7, 2026
- Certificate expiration
- February 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 7, 2012
- 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
- 23D2036348
- Lab name
- Crystal Lake Clinic PC
- Address
- 2198 U S 31 South, Manistee, MI 49660
- Phone
- (231) 882-9661
- Fax
- (231) 882-9616
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.
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- Centra Wellness NetworkCertificate of Waiver, Community clinic23D2262567
- Family Fare Pharmacy #647Certificate of Waiver, Pharmacy23D2084503
- Filer TWP Fire DeptCertificate of Waiver, Ambulance23D1045427
- Fresenius Medical Care ManisteeCertificate of Waiver, End stage renal disease dialysis facility23D0892155
- Friends Who Care, Manistee LLCCertificate of Waiver, Home health agency23D2264466
- Lakeshore Family Care P CCertificate for Provider-Performed Microscopy Procedures, Physician office23D0934387
- Little River Health CenterCertificate of Waiver, Federally qualified health center23D0961581
- Manistee City Fire DepartmentCertificate of Waiver, Ambulance23D1047030
- Manistee County Medical Care FacilityCertificate of Waiver, Skilled nursing or nursing facility23D0686743
Related
Questions
What is the CLIA number for Crystal Lake Clinic PC in Manistee?
23D2036348, 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 23D2036348 expire?
The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.