CLIA lab
CLIA 23D2134178: Crystal Lake Clinic, P C
Suttons Bay, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2134178 belongs to Crystal Lake Clinic, P C in Suttons Bay, MI.
Certificate of Waiver, effective July 27, 2025, expires July 26, 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 27, 2025
- Certificate expiration
- July 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 27, 2017
- 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
- 23D2134178
- Lab name
- Crystal Lake Clinic, P C
- Address
- 650 S West Bay Shore Drive, Suttons Bay, MI 49682
- 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.
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- Leelanau County JailCertificate of Waiver, Other23D2167975
- Leelanau Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office23D2150033
- Leelanau Opco, LLCCertificate of Waiver, Skilled nursing or nursing facility23D1037078
- Stowe Farm Pediatrics PLLCCertificate of Waiver, Physician office23D2286509
- Suttons Bay Bingham Fire & Rescue DeptCertificate of Waiver, Federally qualified health center23D1006997
Related
Questions
What is the CLIA number for Crystal Lake Clinic, P C in Suttons Bay?
23D2134178, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crystal Lake Clinic, P C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2134178 expire?
The CMS file lists July 26, 2027 as the certificate expiration date; the certificate took effect July 27, 2025.