CLIA lab
CLIA 23D0871372: Legacy Dermatology Group
Waterford, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0871372 belongs to Legacy Dermatology Group in Waterford, MI.
Certificate of Compliance, effective April 12, 2025, expires April 11, 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 Compliance
- Certificate effective
- April 12, 2025
- Certificate expiration
- April 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 2, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 23D0871372
- Lab name
- Legacy Dermatology Group
- Address
- 1392 S Cass Lake Road, Waterford, MI 48328
- Phone
- (248) 338-6400
- Fax
- (248) 338-2920
Annual test volume the lab reported
- Other nonwaived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Waterford, MI
- Advanced Pain CenterCertificate of Waiver, Physician office23D2050609
- Bloom Wellness Direct Primary Care, PLLCCertificate of Waiver, Physician office23D2304470
- CNS HealthcareCertificate of Waiver, Other23D2109867
- Canterbury-On-The-LakeCertificate of Waiver, Skilled nursing or nursing facility23D0906358
- Community Programs, IncCertificate of Waiver, Other23D0901481
- Cory J Rubin MD PCCertificate of Waiver, Physician office23D2171170
- Devyani Khambete MD PCCertificate of Waiver, Physician office23D1049625
- First Choice Urgent Care - WaterfordCertificate of Waiver, Ancillary test site23D2079803
- First Choice Urgent Care - Waterford - HighlandCertificate of Waiver, Ancillary test site23D2349843
- Glenn Bauer MDCertificate of Waiver, Physician office23D0712430
Related
Questions
What is the CLIA number for Legacy Dermatology Group in Waterford?
23D0871372, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Dermatology Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 23D0871372 expire?
The CMS file lists April 11, 2027 as the certificate expiration date; the certificate took effect April 12, 2025.