CLIA lab

CLIA 23D0956754: Perry MLK Medical Center, PC

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

CLIA number 23D0956754 belongs to Perry MLK Medical Center, PC in Pontiac, MI.

Certificate of Waiver, effective February 4, 2025, expires February 3, 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 4, 2025
Certificate expiration
February 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 4, 1999
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
23D0956754
Lab name
Perry MLK Medical Center, PC
Address
673 Martin Luther King Blvd North, Pontiac, MI 48342
Phone
(248) 334-4961

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.

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Questions

What is the CLIA number for Perry MLK Medical Center, PC in Pontiac?

23D0956754, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Perry MLK Medical Center, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0956754 expire?

The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.

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