CLIA lab
CLIA 23D1021221: Grand Blanc Adult Medicine PC
Grand Blanc, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1021221 belongs to Grand Blanc Adult Medicine PC in Grand Blanc, MI.
Certificate of Waiver, effective January 15, 2026, expires January 14, 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
- January 15, 2026
- Certificate expiration
- January 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 2004
- 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
- 23D1021221
- Lab name
- Grand Blanc Adult Medicine PC
- Address
- G8288 S Saginaw Road, Grand Blanc, MI 48439
- Phone
- (810) 694-5000
- Fax
- (810) 694-5105
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ascension Medical GroupCertificate of Waiver, Physician office23D0373007
- Ascension Medical GroupCertificate of Waiver, Physician office23D0856600
- Ascension Medical Group GenesysCertificate for Provider-Performed Microscopy Procedures, Physician office23D1070196
Related
Questions
What is the CLIA number for Grand Blanc Adult Medicine PC in Grand Blanc?
23D1021221, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Blanc Adult Medicine PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1021221 expire?
The CMS file lists January 14, 2028 as the certificate expiration date; the certificate took effect January 15, 2026.