23D0995132 CLIA NUMBER - CRYSTAL LAKE CLINICS PC - FRANKFORT

Laboratory Demographics

  • CLIA Code: 23D0995132
  • Facility Name: CRYSTAL LAKE CLINICS PC - FRANKFORT
  • Facility Address: 826 FOREST AVENUE
    FRANKFORT, MI
    ZIP 49635
  • Facility Phone: (231) 352-5285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACOB G. FLYNN
  • NPI Number: 1770537748
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0995132
LAB Type Physician Office
Facility Name CRYSTAL LAKE CLINICS PC - FRANKFORT
Street 826 FOREST AVENUE
City FRANKFORT
State MI
ZIP 49635
Phone 2313525285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2026
Certificate Expiration Date 1/9/2028
Facility Type Physician Office
Lab Director JACOB G. FLYNN

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This page was last updated on: 5/18/2026