CLIA lab

CLIA 23D1056005: East Side Vascular - Scsp

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

CLIA number 23D1056005 belongs to East Side Vascular - Scsp in Roseville, MI.

Certificate of Waiver, effective July 3, 2026, expires July 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 of Waiver
Certificate effective
July 3, 2026
Certificate expiration
July 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 3, 2006
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
23D1056005
Lab name
East Side Vascular - Scsp
Address
18001 E 10 Mile Road Suite 3, Roseville, MI 48066
Phone
(313) 886-4832
Fax
(313) 886-4940

Annual test volume the lab reported

Waived tests
25

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 East Side Vascular - Scsp in Roseville?

23D1056005, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Side Vascular - Scsp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D1056005 expire?

The CMS file lists July 2, 2028 as the certificate expiration date; the certificate took effect July 3, 2026.

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