CLIA lab
CLIA 23D2312872: Physician / LLC Jamie S Johnson, DO
Iron Mountain, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2312872 belongs to Physician / LLC Jamie S Johnson, DO in Iron Mountain, MI.
Certificate of Waiver, effective October 21, 2026, expires October 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 of Waiver
- Certificate effective
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2024
- Facility type
- Other
- 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
- 23D2312872
- Lab name
- Physician / LLC Jamie S Johnson, DO
- Address
- 250 Riverhills Road Kubick Aviation, Iron Mountain, MI 49802
- Phone
- (906) 361-1071
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Iron Mountain, MI
- Bellin HealthCertificate of Waiver, Physician office23D2176713
- Bellin Health Iron MountainCertificate of Compliance, Physician office23D2044182
- City of Iron Mountain Fire DepartmentCertificate of Waiver, Ambulance23D2168653
- Dickinson County JailCertificate of Waiver, Other23D2036331
- Fresenius Medical Care Iron MountainCertificate of Waiver, End stage renal disease dialysis facility23D1093374
- John Michael Garrett MD PCCertificate of Waiver, Ambulatory surgery center23D0882914
- Marshfield Medical Center - DickinsonCertificate of Accreditation, Hospital23D0381976
- Marshfield Medical Center - Dickinson,Certificate of Waiver, Rural health clinic23D0938059
- Marshfield Medical Center - Dickinson,Certificate for Provider-Performed Microscopy Procedures, Rural health clinic23D1024244
- Mi Wi Family Practice Assoc PCCertificate of Waiver, Physician office23D0919467
Related
Questions
What is the CLIA number for Physician / LLC Jamie S Johnson, DO in Iron Mountain?
23D2312872, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Physician / LLC Jamie S Johnson, DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2312872 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.