CLIA lab

CLIA 23D1051324: Henry Ford Internal Medicine - ST John Hospital

Detroit, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 23D1051324 belongs to Henry Ford Internal Medicine - ST John Hospital in Detroit, MI.

Certificate of Waiver, effective November 5, 2024, expires November 4, 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 of Waiver
Certificate effective
November 5, 2024
Certificate expiration
November 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 28, 2006
Facility type
Physician office
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D1051324
Lab name
Henry Ford Internal Medicine - ST John Hospital
Additional name
Medical Pavilion Two
Address
22201 Moross Rd Suite 50, Detroit, MI 48236
Phone
(313) 343-7774
Fax
(313) 343-7277

Annual test volume the lab reported

Waived tests
13,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Detroit, MI

Related

Questions

What is the CLIA number for Henry Ford Internal Medicine - ST John Hospital in Detroit?

23D1051324, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henry Ford Internal Medicine - ST John Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D1051324 expire?

The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.

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