CLIA lab
CLIA 23D2093422: Grand Traverse Band Fire/Rescue
Peshawbestown, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2093422 belongs to Grand Traverse Band Fire/Rescue in Peshawbestown, MI.
Certificate of Waiver, effective July 22, 2025, expires July 21, 2027.
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
- July 22, 2025
- Certificate expiration
- July 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 2015
- Facility type
- Ambulance
- Ownership (control type)
- Government, other
- 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
- 23D2093422
- Lab name
- Grand Traverse Band Fire/Rescue
- Address
- 3501 Putnam Road, Peshawbestown, MI 49682
- Phone
- (231) 534-7161
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Grand Traverse Band Fire/Rescue in Peshawbestown?
23D2093422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Traverse Band Fire/Rescue hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2093422 expire?
The CMS file lists July 21, 2027 as the certificate expiration date; the certificate took effect July 22, 2025.