CLIA lab
CLIA 23D0865623: Henry Ford ST John Children's Center - ST John
Detroit, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0865623 belongs to Henry Ford ST John Children's Center - ST John in Detroit, MI.
Certificate of Waiver, effective May 1, 2026, expires April 30, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 1, 2026
- Certificate expiration
- April 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 1993
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D0865623
- Lab name
- Henry Ford ST John Children's Center - ST John
- Additional name
- Hospital Medical Pavilion Two
- Address
- 22201 Moross Rd Ste 270, Detroit, MI 48236
- Phone
- (313) 343-3481
- Fax
- (313) 343-7937
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Detroit, MI
- Acadian Urgent CareCertificate of Waiver, Other23D2232025
- Accompany Medical Group of Michigan, P CCertificate of Waiver, Physician office23D2289046
- Adult Well Being ServicesCertificate of Waiver, Other23D2000263
- Advantage Living Center - SamaritanCertificate of Waiver, Skilled nursing or nursing facility23D1068494
- Affinity Care of Michigan LLCCertificate of Waiver, Hospice23D2342758
- Aids Healthcare FoundationCertificate of Waiver, Pharmacy23D2337595
- Ali H Mahmood MD PLCCertificate for Provider-Performed Microscopy Procedures, Physician office23D0985231
- All Care Supplies IncCertificate of Waiver, Independent23D2330721
- Allied Home Health and Nursing Services LLCCertificate of Waiver, Home health agency23D1060605
- Alsan Medical Clinic PCCertificate for Provider-Performed Microscopy Procedures, Physician office23D0711380
Related
Questions
What is the CLIA number for Henry Ford ST John Children's Center - ST John in Detroit?
23D0865623, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford ST John Children's Center - ST John hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0865623 expire?
The CMS file lists April 30, 2028 as the certificate expiration date; the certificate took effect May 1, 2026.