CLIA lab

CLIA 23D2065763: Northern Pines Assisted Living

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

CLIA number 23D2065763 belongs to Northern Pines Assisted Living in Grayling, MI.

Certificate of Waiver, effective August 24, 2026, expires August 23, 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
August 24, 2026
Certificate expiration
August 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 2013
Facility type
Assisted living facility
Ownership (control type)
Other
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
23D2065763
Lab name
Northern Pines Assisted Living
Address
130 Mary Ann Street, Grayling, MI 49738
Phone
(616) 719-5100
Fax
(866) 339-0380

Annual test volume the lab reported

Waived tests
5,000

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

Other labs in Grayling, MI

Related

Questions

What is the CLIA number for Northern Pines Assisted Living in Grayling?

23D2065763, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northern Pines Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2065763 expire?

The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.

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