CLIA lab
CLIA 23D0363213: Henry Ford Internal Medicine
St Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0363213 belongs to Henry Ford Internal Medicine in St Clair Shores, MI.
Certificate of Waiver, effective February 4, 2025, expires February 3, 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 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 23D0363213
- Lab name
- Henry Ford Internal Medicine
- Additional name
- K Kapordelis MD
- Address
- 21000 E 12 Mile Road Suite 104, St Clair Shores, MI 48081
- Phone
- (586) 779-9899
- Fax
- (586) 776-2418
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Eastside Endoscopy CenterCertificate of Waiver, Ambulatory surgery center23D0909570
Related
Questions
What is the CLIA number for Henry Ford Internal Medicine in St Clair Shores?
23D0363213, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0363213 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.