CLIA lab
CLIA 23D2173915: Northern Michigan Children's Assessment Center
Roscommon, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2173915 belongs to Northern Michigan Children's Assessment Center in Roscommon, MI.
Certificate of Waiver, effective October 22, 2025, expires October 21, 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 22, 2025
- Certificate expiration
- October 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 23D2173915
- Lab name
- Northern Michigan Children's Assessment Center
- Address
- 112 S 4th St Ste Medical, Roscommon, MI 48653
- Phone
- (989) 422-5122
- Fax
- (989) 422-4378
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Roscommon, MI
- Coor Educational Center Health OfficeCertificate of Waiver, School or student health service23D2332993
- Gerrish Township Fire & EMSCertificate of Waiver, Federally qualified health center23D1013853
- Higgins Township Fire & EMSCertificate of Waiver, Ambulance23D1006650
- Lyon Township Fire & EMSCertificate of Waiver, Federally qualified health center23D1038668
- Midmichigan Medical Offices RoscommonCertificate of Waiver, Federally qualified health center23D0374773
- Mission Point of Roscommon LLCCertificate of Waiver, Skilled nursing or nursing facility23D0866222
- Munson Healthcare GraylingCertificate for Provider-Performed Microscopy Procedures, Physician office23D0949310
- Roscommon DialysisCertificate of Waiver, End stage renal disease dialysis facility23D2080486
- Roscommon School Base Health CenterCertificate of Waiver, Federally qualified health center23D2086745
- Roscommon Sheriff DepartmentCertificate of Waiver, Prison23D2203695
Related
Questions
What is the CLIA number for Northern Michigan Children's Assessment Center in Roscommon?
23D2173915, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern Michigan Children's Assessment Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2173915 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.