CLIA lab
CLIA 23D1019382: James A Gibson MD PC
Waterford, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1019382 belongs to James A Gibson MD PC in Waterford, MI.
Certificate of Waiver, effective August 16, 2026, expires August 15, 2028.
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 16, 2026
- Certificate expiration
- August 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 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
- 23D1019382
- Lab name
- James A Gibson MD PC
- Address
- 5784 Highland Rd, Waterford, MI 48327
- Phone
- (248) 673-6667
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bloom Wellness Direct Primary Care, PLLCCertificate of Waiver, Physician office23D2304470
- CNS HealthcareCertificate of Waiver, Other23D2109867
- Canterbury-On-The-LakeCertificate of Waiver, Skilled nursing or nursing facility23D0906358
- Community Programs, IncCertificate of Waiver, Other23D0901481
- Cory J Rubin MD PCCertificate of Waiver, Physician office23D2171170
- Devyani Khambete MD PCCertificate of Waiver, Physician office23D1049625
- First Choice Urgent Care - WaterfordCertificate of Waiver, Ancillary test site23D2079803
- First Choice Urgent Care - Waterford - HighlandCertificate of Waiver, Ancillary test site23D2349843
- Glenn Bauer MDCertificate of Waiver, Physician office23D0712430
Related
Questions
What is the CLIA number for James A Gibson MD PC in Waterford?
23D1019382, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does James A Gibson MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1019382 expire?
The CMS file lists August 15, 2028 as the certificate expiration date; the certificate took effect August 16, 2026.