CLIA lab
CLIA 23D2081512: Lake Huron Medical Group
Fort Gratiot, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2081512 belongs to Lake Huron Medical Group in Fort Gratiot, MI.
Certificate of Waiver, effective October 19, 2024, expiration date October 18, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 19, 2024
- Certificate expiration
- October 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 28, 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
- 23D2081512
- Lab name
- Lake Huron Medical Group
- Address
- 4190 24th Avenue Suite 201, Fort Gratiot, MI 48059
- Phone
- (810) 216-4200
- Fax
- (810) 216-3025
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Gratiot, MI
- Blue Water Children's Health Care, PLLCCertificate of Waiver, Physician office23D0987458
- Blue Water Primary CareCertificate of Waiver, Physician office23D2339100
- Blue Water Urgent CareCertificate of Waiver, Physician office23D2223020
- CSL Plasma, IncCertificate of Compliance, Other23D2119598
- DBA Lake Huron Medical GroupCertificate of Waiver, Physician office23D2230016
- Fort Gratiot Fire DepartmentCertificate of Waiver, Other practitioner23D2173210
- Hamzavi DermatologyCertificate of Compliance, Physician office23D0879485
- Heritage Home Hospice, LLCCertificate of Waiver, Hospice23D2068097
- Horizon Family MedicineCertificate of Waiver, Physician office23D2178855
- I A H of Michigan, PLLCCertificate of Waiver, Physician office23D2101834
Related
Questions
What is the CLIA number for Lake Huron Medical Group in Fort Gratiot?
23D2081512, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Huron Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2081512 expire?
The CMS file lists October 18, 2026 as the certificate expiration date; the certificate took effect October 19, 2024.