CLIA lab
CLIA 23D1007029: David Fivenson, MD, Dermatology, PLLC
Ann Arbor, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1007029 belongs to David Fivenson, MD, Dermatology, PLLC in Ann Arbor, MI.
Certificate for Provider-Performed Microscopy Procedures, effective December 6, 2024, expires December 5, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 6, 2024
- Certificate expiration
- December 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 2002
- 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
- 23D1007029
- Lab name
- David Fivenson, MD, Dermatology, PLLC
- Address
- 3200 W Liberty Road Suite C5, Ann Arbor, MI 48103
- Phone
- (734) 222-9630
- Fax
- (734) 222-9631
Annual test volume the lab reported
- Provider-performed microscopy tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for David Fivenson, MD, Dermatology, PLLC in Ann Arbor?
23D1007029, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does David Fivenson, MD, Dermatology, PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D1007029 expire?
The CMS file lists December 5, 2026 as the certificate expiration date; the certificate took effect December 6, 2024.