CLIA lab

CLIA 23D2107090: Thomas Kizy MD PLLC

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

CLIA number 23D2107090 belongs to Thomas Kizy MD PLLC in Algonac, MI.

Certificate of Waiver, effective November 6, 2025, expires November 5, 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
November 6, 2025
Certificate expiration
November 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
23D2107090
Lab name
Thomas Kizy MD PLLC
Address
329 Columbia Street, Algonac, MI 48001
Phone
(586) 531-5916

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in Algonac, MI

Related

Questions

What is the CLIA number for Thomas Kizy MD PLLC in Algonac?

23D2107090, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Thomas Kizy MD PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2107090 expire?

The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.

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