CLIA lab

CLIA 23D2158969: Lake City Primary Care

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

CLIA number 23D2158969 belongs to Lake City Primary Care in Lake City, MI.

Certificate of Waiver, effective December 11, 2024, expires December 10, 2026.

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
December 11, 2024
Certificate expiration
December 10, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 11, 2018
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
23D2158969
Lab name
Lake City Primary Care
Address
1866 S Morey Road, Lake City, MI 49651
Phone
(231) 839-7282
Fax
(231) 839-7222

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 Lake City, MI

Related

Questions

What is the CLIA number for Lake City Primary Care in Lake City?

23D2158969, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake City Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2158969 expire?

The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.

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