CLIA lab

CLIA 23D2084487: Family Fare Pharmacy #641

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

CLIA number 23D2084487 belongs to Family Fare Pharmacy #641 in Traverse City, MI.

Certificate of Waiver, effective September 24, 2026, expires September 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2014
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D2084487
Lab name
Family Fare Pharmacy #641
Address
4122 US 31 South, Traverse City, MI 49685
Phone
(231) 943-4017
Fax
(231) 943-3586

Annual test volume the lab reported

Waived tests
50

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

Other labs in Traverse City, MI

Related

Questions

What is the CLIA number for Family Fare Pharmacy #641 in Traverse City?

23D2084487, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Fare Pharmacy #641 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2084487 expire?

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

Try it on your own data today.

Free to start. Most teams are using it the same day.