CLIA lab
CLIA 23D2270164: Table Health Petoskey
Petoskey, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2270164 belongs to Table Health Petoskey in Petoskey, MI.
Certificate for Provider-Performed Microscopy Procedures, effective October 11, 2026, expires October 10, 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
- October 11, 2026
- Certificate expiration
- October 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 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
- 23D2270164
- Lab name
- Table Health Petoskey
- Address
- 3890 Charlevoix Avenue Suite 307, Petoskey, MI 49770
- Phone
- (231) 333-1331
- Fax
- (231) 259-1001
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 25
- Total
- 225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Petoskey, MI
- Advanced Dermatology of MichiganCertificate of Accreditation, Physician office23D0969601
- Alcona Health CenterCertificate of Waiver, Federally qualified health center23D0966757
- Art of Medicine Personalized, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office23D2241843
- Bay Urgent Care and Family Practice PLLCCertificate of Waiver, Physician office23D2251883
- Bay View Obstetrics and GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office23D0958674
- Bayside Family & Sports MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office23D0955653
- Crooked Tree Wellness ClinicCertificate of Waiver, Other23D2271687
- Docs By the BayCertificate of Waiver, Physician office23D2322838
- Emmet County EMSCertificate of Waiver, Ambulance23D2084343
- Emmet County Sheriff's OfficeCertificate of Waiver, Other23D2154595
Related
Questions
What is the CLIA number for Table Health Petoskey in Petoskey?
23D2270164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Table Health Petoskey hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D2270164 expire?
The CMS file lists October 10, 2028 as the certificate expiration date; the certificate took effect October 11, 2026.