CLIA lab

CLIA 23D2283672: 12th Street Internal Medicine and Pediatrics

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

CLIA number 23D2283672 belongs to 12th Street Internal Medicine and Pediatrics in Wayland, MI.

Certificate of Waiver, effective June 12, 2025, expires June 11, 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
June 12, 2025
Certificate expiration
June 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 12, 2023
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
23D2283672
Lab name
12th Street Internal Medicine and Pediatrics
Address
3587 12th Street, Wayland, MI 49348
Phone
(269) 792-2263
Fax
(269) 792-4344

Annual test volume the lab reported

Waived tests
750

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

Other labs in Wayland, MI

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Questions

What is the CLIA number for 12th Street Internal Medicine and Pediatrics in Wayland?

23D2283672, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 12th Street Internal Medicine and Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2283672 expire?

The CMS file lists June 11, 2027 as the certificate expiration date; the certificate took effect June 12, 2025.

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