CLIA lab
CLIA 23D2100386: Crystal Lake Clinic, PC
Traverse City, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2100386 belongs to Crystal Lake Clinic, PC in Traverse City, MI.
Certificate of Waiver, effective August 13, 2025, expires August 12, 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
- August 13, 2025
- Certificate expiration
- August 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2100386
- Lab name
- Crystal Lake Clinic, PC
- Address
- 4025 Chums Village Drive, Traverse City, MI 49685
- Phone
- (231) 882-9661
- Fax
- (231) 882-9616
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Traverse City, MI
- Addiction Treatment Services, IncCertificate of Waiver, Physician office23D2157066
- Advanced Dermatology of MichiganCertificate of Accreditation, Physician office23D2123083
- Alliance Surgery CenterCertificate of Waiver, Ambulatory surgery center23D2169942
- Associated Retinal Consultants, P CCertificate of Waiver, Physician office23D2130551
- Bay Area Family CareCertificate for Provider-Performed Microscopy Procedures, Physician office23D0381301
- Bay Area UrologyCertificate of Waiver, Physician office23D0381334
- Bay Ridge Assisted Living CenterCertificate of Waiver, Assisted living facility23D2073377
- Bayside Wellness, LLCCertificate of Waiver, Home health agency23D2261468
- Best Medical Services, PLCCertificate of Waiver, Physician office23D2121955
- Blair Township EMSCertificate of Waiver, Ambulance23D0865034
Related
Questions
What is the CLIA number for Crystal Lake Clinic, PC in Traverse City?
23D2100386, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crystal Lake Clinic, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2100386 expire?
The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.