CLIA lab
CLIA 23D1036030: Henry Ford Wyandotte Northline Women's
Southgate, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1036030 belongs to Henry Ford Wyandotte Northline Women's in Southgate, MI.
Certificate for Provider-Performed Microscopy Procedures, effective January 19, 2025, expires January 18, 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
- January 19, 2025
- Certificate expiration
- January 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 2005
- 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
- 23D1036030
- Lab name
- Henry Ford Wyandotte Northline Women's
- Additional name
- Health Center Southgate
- Address
- 15675 Northline Road, Southgate, MI 48195
- Phone
- (734) 282-3600
- Fax
- (734) 282-3603
Annual test volume the lab reported
- Waived tests
- 1,200
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 Henry Ford Wyandotte Northline Women's in Southgate?
23D1036030, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford Wyandotte Northline Women's hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D1036030 expire?
The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.