CLIA lab

CLIA 23D0368418: Trinity Health Iha Medical Group Pediatrics

Plymouth, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D0368418 belongs to Trinity Health Iha Medical Group Pediatrics in Plymouth, MI.

Certificate of Waiver, effective August 2, 2025, expires August 1, 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
August 2, 2025
Certificate expiration
August 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 2, 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
23D0368418
Lab name
Trinity Health Iha Medical Group Pediatrics
Additional name
Plymouth
Address
990 W Ann Arbor Trail Suite 210, Plymouth, MI 48170
Phone
(734) 455-4600
Fax
(734) 455-5637

Annual test volume the lab reported

Waived tests
7,500

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 Trinity Health Iha Medical Group Pediatrics in Plymouth?

23D0368418, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Trinity Health Iha Medical Group Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0368418 expire?

The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.

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