CLIA lab
CLIA 23D2230016: DBA Lake Huron Medical Group
Fort Gratiot, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2230016 belongs to DBA Lake Huron Medical Group in Fort Gratiot, MI.
Certificate of Waiver, effective July 19, 2025, expires July 18, 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 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 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
- 23D2230016
- Lab name
- DBA Lake Huron Medical Group
- Address
- 4190 24th Avenue Suite 208, Fort Gratiot, MI 48059
- Phone
- (810) 216-4000
- Fax
- (810) 216-4001
Annual test volume the lab reported
- Waived tests
- 2,500
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
- 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
- Lake Huron Medical Center - North CampusCertificate of Accreditation, Ambulatory surgery center23D2119607
Related
Questions
What is the CLIA number for DBA Lake Huron Medical Group in Fort Gratiot?
23D2230016, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DBA Lake Huron Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2230016 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.