CLIA lab
CLIA 23D2318853: Loon Lake Primary Care
Wixom, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2318853 belongs to Loon Lake Primary Care in Wixom, MI.
Certificate of Waiver, effective February 19, 2025, expires February 18, 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
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 2025
- 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
- 23D2318853
- Lab name
- Loon Lake Primary Care
- Address
- 1545 N Wixom Road, Wixom, MI 48393
- Phone
- (248) 833-6343
- Fax
- (248) 997-7672
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Liberty House OutpatientCertificate of Waiver, Other23D2332897
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- Park Family Health Care PCCertificate of Waiver, Physician office23D0962747
Related
Questions
What is the CLIA number for Loon Lake Primary Care in Wixom?
23D2318853, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Loon Lake Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2318853 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.