CLIA lab
CLIA 23D0966756: Henry Ford ST John Hospital
Roseville, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0966756 belongs to Henry Ford ST John Hospital in Roseville, MI.
Certificate of Waiver, effective October 26, 2025, expires October 25, 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
- October 26, 2025
- Certificate expiration
- October 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 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
- 23D0966756
- Lab name
- Henry Ford ST John Hospital
- Address
- 25195 Kelly Road Suite A, Roseville, MI 48066
- Phone
- (586) 775-4594
- Fax
- (586) 775-4506
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Roseville, MI
- Advantage Living Center/RosevilleCertificate of Waiver, Skilled nursing or nursing facility23D0709180
- Ah Roseville MCCertificate of Waiver, Assisted living facility23D2199118
- Alok Shukla, MDCertificate of Waiver, Physician office23D2095995
- Ami School Based Health Center RosevilleCertificate of Waiver, School or student health service23D2314376
- Biolife Diagnostics IncCertificate of Waiver, Independent23D2349993
- Biomed Behavioral Healthcare, P CCertificate of Waiver, Other23D2079169
- CSL Plasma IncCertificate of Compliance, Other23D2036201
- Cancer and Hematology Centers, theCertificate of Compliance, Independent23D0675313
- Cardiovascular Institute of Michigan PCCertificate of Waiver, Physician office23D1028314
- Clara Kamath Wood MD PLLCCertificate of Waiver, Physician office23D2258107
Related
Questions
What is the CLIA number for Henry Ford ST John Hospital in Roseville?
23D0966756, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford ST John Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0966756 expire?
The CMS file lists October 25, 2027 as the certificate expiration date; the certificate took effect October 26, 2025.