CLIA lab
CLIA 23D0364136: Ronaldo Balboa MD
Port Huron, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0364136 belongs to Ronaldo Balboa MD in Port Huron, MI.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 23D0364136
- Lab name
- Ronaldo Balboa MD
- Address
- 1201 Stone Street Ste 5, Port Huron, MI 48060
- Phone
- (810) 985-1850
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Ronaldo Balboa MD in Port Huron?
23D0364136, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ronaldo Balboa MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0364136 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.