CLIA lab

CLIA 23D0964105: Internal Medicine of Dearborn

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

CLIA number 23D0964105 belongs to Internal Medicine of Dearborn in Dearborn, MI.

Certificate of Waiver, effective August 19, 2025, expires August 18, 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 19, 2025
Certificate expiration
August 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 19, 1999
Facility type
Physician office
Ownership (control type)
Private
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
23D0964105
Lab name
Internal Medicine of Dearborn
Address
831 Monroe, Dearborn, MI 48124
Phone
(313) 565-8950
Fax
(313) 565-2231

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Dearborn, MI

Related

Questions

What is the CLIA number for Internal Medicine of Dearborn in Dearborn?

23D0964105, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Internal Medicine of Dearborn hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D0964105 expire?

The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.

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