CLIA lab
CLIA 23D2079475: Memorial Healthcare Family Medicine
Owosso, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2079475 belongs to Memorial Healthcare Family Medicine in Owosso, MI.
Certificate of Waiver, effective June 17, 2026, expires June 16, 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 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 2014
- 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
- 23D2079475
- Lab name
- Memorial Healthcare Family Medicine
- Address
- 100 Health Park Drive, Suite 101, Owosso, MI 48867
- Phone
- (989) 729-2255
- Fax
- (989) 729-4050
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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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 in Owosso?
23D2079475, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Healthcare Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2079475 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.