CLIA lab

CLIA 23D0691773: V M D Primary Providers Eastern Michigan, P C

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

CLIA number 23D0691773 belongs to V M D Primary Providers Eastern Michigan, P C in Walled Lake, MI.

Certificate of Waiver, effective February 16, 2025, expires February 15, 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 16, 2025
Certificate expiration
February 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
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
23D0691773
Lab name
V M D Primary Providers Eastern Michigan, P C
Address
620 N Pontiac Trail, Walled Lake, MI 48390
Phone
(248) 624-4511
Fax
(248) 624-4408

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Walled Lake, MI

Related

Questions

What is the CLIA number for V M D Primary Providers Eastern Michigan, P C in Walled Lake?

23D0691773, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does V M D Primary Providers Eastern Michigan, P C hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0691773 expire?

The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.

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