CLIA lab
CLIA 23D2084505: Family Fare Pharmacy #1504
Cheboygan, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2084505 belongs to Family Fare Pharmacy #1504 in Cheboygan, 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
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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
- 23D2084505
- Lab name
- Family Fare Pharmacy #1504
- Address
- 992 South Main, Cheboygan, MI 49721
- Phone
- (231) 627-5371
- Fax
- (231) 627-6810
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 Cheboygan, MI
- Alcona Health Center Cheboygan SiteCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center23D2096360
- Cheboygan County JailCertificate of Waiver, Other23D2209361
- Cheboygan Life Support Systems IncCertificate of Waiver, Ambulance23D0698536
- Cheboygan Opco, LLCCertificate of Waiver, Skilled nursing or nursing facility23D0381615
- Jeffrey K Chaulk, MD, PCCertificate of Waiver, Physician office23D2090393
- Mclaren Central MichiganCertificate of Waiver, Rural health clinic23D0721423
- Mclaren Northern Michigan CheboyganCertificate of Accreditation, Other23D0381622
- Modern Medical Services IncCertificate of Waiver, Pharmacy23D1018844
- Rivertown Medical ClinicCertificate of Waiver, Physician office23D1030472
- Straits Area Dermatology Center PLCCertificate of Registration, Physician office23D2330323
Related
Questions
What is the CLIA number for Family Fare Pharmacy #1504 in Cheboygan?
23D2084505, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Fare Pharmacy #1504 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2084505 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.