CLIA lab
CLIA 23D1053735: Family Medicine at Domino's Farms
Ann Arbor, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1053735 belongs to Family Medicine at Domino's Farms in Ann Arbor, MI.
Certificate for Provider-Performed Microscopy Procedures, effective May 3, 2026, expires May 2, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 2006
- Facility type
- Ancillary test site
- 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
- 23D1053735
- Lab name
- Family Medicine at Domino's Farms
- Address
- 24 Frank Lloyd Wright Drive, P O Box 431 Lobby H, Ann Arbor, MI 48106
- Phone
- (734) 936-1878
- Fax
- (734) 647-7874
Annual test volume the lab reported
- Waived tests
- 8,000
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 Family Medicine at Domino's Farms in Ann Arbor?
23D1053735, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine at Domino's Farms hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 23D1053735 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.