CLIA lab

CLIA 23D2262974: Coastal Dermatology, PLC

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

CLIA number 23D2262974 belongs to Coastal Dermatology, PLC in Traverse City, MI.

Certificate for Provider-Performed Microscopy Procedures, effective June 21, 2026, expires June 20, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
June 21, 2026
Certificate expiration
June 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 21, 2022
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
23D2262974
Lab name
Coastal Dermatology, PLC
Address
954 Business Park Drive Suite 5, Traverse City, MI 49686
Phone
(231) 252-3200
Fax
(231) 252-3206

Annual test volume the lab reported

Waived tests
30
Provider-performed microscopy tests
30
Total
60

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Coastal Dermatology, PLC in Traverse City?

23D2262974, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Dermatology, PLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 23D2262974 expire?

The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.

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