CLIA lab
CLIA 23D0904499: Lutheran Home - Monroe
Monroe, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0904499 belongs to Lutheran Home - Monroe in Monroe, MI.
Certificate of Waiver, effective August 22, 2025, expires August 21, 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 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 1995
- Facility type
- Skilled nursing or nursing facility
- 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
- 23D0904499
- Lab name
- Lutheran Home - Monroe
- Address
- 1236 S Monroe Street, Monroe, MI 48161
- Phone
- (313) 241-9533
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Wellspring Lutheran Nursing and Rehab ServicesCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Lutheran Home - Monroe in Monroe?
23D0904499, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lutheran Home - Monroe hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0904499 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.