CLIA lab
CLIA 23D2078847: Grand Traverse Ophthalmology Clinic P C
Traverse City, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2078847 belongs to Grand Traverse Ophthalmology Clinic P C in Traverse City, MI.
Certificate of Waiver, effective June 5, 2026, expires June 4, 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
- June 5, 2026
- Certificate expiration
- June 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 2014
- 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
- 23D2078847
- Lab name
- Grand Traverse Ophthalmology Clinic P C
- Address
- 929 Business Park Drive, Traverse City, MI 49686
- Phone
- (231) 932-4336
- Fax
- (231) 947-8864
Annual test volume the lab reported
- Waived tests
- 130
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Grand Traverse Ophthalmology Clinic P C in Traverse City?
23D2078847, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Traverse Ophthalmology Clinic P C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2078847 expire?
The CMS file lists June 4, 2028 as the certificate expiration date; the certificate took effect June 5, 2026.