CLIA lab
CLIA 23D2211876: Physician Healthcare Network Pediatrics
Fort Gratiot, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2211876 belongs to Physician Healthcare Network Pediatrics in Fort Gratiot, MI.
Certificate of Waiver, effective February 1, 2025, expires January 31, 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
- February 1, 2025
- Certificate expiration
- January 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 2021
- 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
- 23D2211876
- Lab name
- Physician Healthcare Network Pediatrics
- Address
- 4190 24th Avenue Suite 204, Fort Gratiot, MI 48059
- Phone
- (810) 216-1000
- Fax
- (810) 216-3138
Annual test volume the lab reported
- Waived tests
- 3,850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Gratiot, MI
- Blue Water Children's Health Care, PLLCCertificate of Waiver, Physician office23D0987458
- Blue Water Primary CareCertificate of Waiver, Physician office23D2339100
- Blue Water Urgent CareCertificate of Waiver, Physician office23D2223020
- CSL Plasma, IncCertificate of Compliance, Other23D2119598
- DBA Lake Huron Medical GroupCertificate of Waiver, Physician office23D2230016
- Fort Gratiot Fire DepartmentCertificate of Waiver, Other practitioner23D2173210
- Hamzavi DermatologyCertificate of Compliance, Physician office23D0879485
- Heritage Home Hospice, LLCCertificate of Waiver, Hospice23D2068097
- Horizon Family MedicineCertificate of Waiver, Physician office23D2178855
- I A H of Michigan, PLLCCertificate of Waiver, Physician office23D2101834
Related
Questions
What is the CLIA number for Physician Healthcare Network Pediatrics in Fort Gratiot?
23D2211876, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Physician Healthcare Network Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2211876 expire?
The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.