CLIA lab

CLIA 23D0696122: Pro Medica Physicians Family Medicine

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

CLIA number 23D0696122 belongs to Pro Medica Physicians Family Medicine in Adrian, 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 15, 1993
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
23D0696122
Lab name
Pro Medica Physicians Family Medicine
Address
901 Kimole Lane Suite #A-3 & A-4, Adrian, MI 49221
Phone
(419) 824-7211
Fax
(419) 882-8472

Annual test volume the lab reported

Waived tests
1,450
Provider-performed microscopy tests
300
Total
1,750

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 Pro Medica Physicians Family Medicine in Adrian?

23D0696122, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pro Medica Physicians Family Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 23D0696122 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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