CLIA lab
CLIA 23D0365504: Henry Ford Family Medicine - ST Clair Shores
St Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0365504 belongs to Henry Ford Family Medicine - ST Clair Shores in St Clair Shores, MI.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1993
- 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
- 23D0365504
- Lab name
- Henry Ford Family Medicine - ST Clair Shores
- Address
- 24911 Little Mack Suite C, St Clair Shores, MI 48080
- Phone
- (586) 447-9068
- Fax
- (586) 563-2023
Annual test volume the lab reported
- Waived tests
- 800
- Provider-performed microscopy tests
- 150
- Total
- 950
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 Henry Ford Family Medicine - ST Clair Shores in St Clair Shores?
23D0365504, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford Family Medicine - ST Clair Shores hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D0365504 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.