CLIA lab
CLIA 23D1005530: Pediatric & Adolescent Center
Southgate, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1005530 belongs to Pediatric & Adolescent Center in Southgate, MI.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 2002
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D1005530
- Lab name
- Pediatric & Adolescent Center
- Address
- 15555 Northline Road, Southgate, MI 48195
- Phone
- (734) 285-3090
- Fax
- (734) 285-3095
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Southgate, MI
- Academy Home Care IncCertificate of Waiver, Home health agency23D1092892
- Acadian Supreme Health ServicesCertificate of Waiver, Physician office23D2200119
- Amc Primary Care & Consultants PLLCCertificate of Waiver, Physician office23D2308626
- Axiom Hospice LLCCertificate of Waiver, Hospice23D2278672
- Bioscript Pharmacy Mi LLCCertificate of Waiver, Pharmacy23D2272985
- Care First Homecare LLCCertificate of Waiver, Home health agency23D1093255
- Castleman Surgery CenterCertificate of Waiver, Ambulatory surgery center23D0868421
- Child & Adolescent Center, P CCertificate of Waiver, Physician office23D0369176
- City Medical PCCertificate of Waiver, Physician office23D0998952
- Corewell Health Children's PediatricsCertificate of Waiver, Physician office23D2144958
Related
Questions
What is the CLIA number for Pediatric & Adolescent Center in Southgate?
23D1005530, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric & Adolescent Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1005530 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.