CLIA lab
CLIA 23D1018496: Changhee Kim MD PHD PLC
Troy, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1018496 belongs to Changhee Kim MD PHD PLC in Troy, MI.
Certificate for Provider-Performed Microscopy Procedures, effective October 24, 2025, expires October 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 24, 2025
- Certificate expiration
- October 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 2003
- 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
- 23D1018496
- Lab name
- Changhee Kim MD PHD PLC
- Address
- 38815 Dequindre Road Suite 103, Troy, MI 48083
- Phone
- (248) 740-7771
- Fax
- (248) 740-7772
Annual test volume the lab reported
- Waived tests
- 500
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 Changhee Kim MD PHD PLC in Troy?
23D1018496, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Changhee Kim MD PHD PLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D1018496 expire?
The CMS file lists October 23, 2027 as the certificate expiration date; the certificate took effect October 24, 2025.