CLIA lab
CLIA 23D0961584: Kavitha Ponduri, MD, PC
Wayne, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0961584 belongs to Kavitha Ponduri, MD, PC in Wayne, MI.
Certificate of Waiver, effective June 10, 2025, expires June 9, 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
- June 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 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
- 23D0961584
- Lab name
- Kavitha Ponduri, MD, PC
- Address
- 34659 W Michigan Avenue, Wayne, MI 48184
- Phone
- (734) 722-2400
- Fax
- (734) 722-1709
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wayne, MI
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- Avanti Home Health CareCertificate of Waiver, Home health agency23D1046088
- Ayman Daoud MD PCCertificate of Waiver, Physician office23D2166335
- Brightstar Care of Careleton & CantonCertificate of Waiver, Home health agency23D2334262
- C H Aslam Urgent PLLCCertificate of Waiver, Physician office23D2135986
- City of Wayne Fire DepartmentCertificate of Waiver, Ambulance23D1082873
- Corewell Health Urgent CareCertificate of Waiver, Other23D2178857
- Corewell Health Wayne Hospital LaboratoryCertificate of Accreditation, Hospital23D0897863
- Fairfield PediatricsCertificate of Waiver, Physician office23D2261145
- Halo Medical Group PLLCCertificate of Waiver, Physician office23D1028316
Related
Questions
What is the CLIA number for Kavitha Ponduri, MD, PC in Wayne?
23D0961584, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kavitha Ponduri, MD, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0961584 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.