CLIA lab

CLIA 23D2316155: Peterson Farms Clinic

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

CLIA number 23D2316155 belongs to Peterson Farms Clinic in Shelby, MI.

Certificate of Waiver, effective December 30, 2024, expires December 29, 2026.

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
December 30, 2024
Certificate expiration
December 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 2024
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
23D2316155
Lab name
Peterson Farms Clinic
Address
3071 W Baseline Road Apt 47, Shelby, MI 49455
Phone
(231) 923-1570

Annual test volume the lab reported

Waived tests
100

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

Other labs in Shelby, MI

Related

Questions

What is the CLIA number for Peterson Farms Clinic in Shelby?

23D2316155, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peterson Farms Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2316155 expire?

The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.

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