CLIA lab
CLIA 23D2103176: Crystal Lake Clinic, PC
Elk Rapids, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2103176 belongs to Crystal Lake Clinic, PC in Elk Rapids, MI.
Certificate of Waiver, effective October 7, 2025, expires October 6, 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
- October 7, 2025
- Certificate expiration
- October 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2015
- 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
- 23D2103176
- Lab name
- Crystal Lake Clinic, PC
- Address
- 124 Ames Street, Elk Rapids, MI 49629
- Phone
- (231) 882-9661
- Fax
- (231) 882-9616
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Elk Rapids, MI
Related
Questions
What is the CLIA number for Crystal Lake Clinic, PC in Elk Rapids?
23D2103176, 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 23D2103176 expire?
The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.