CLIA lab
CLIA 23D1067076: Maridel A Hernandez Internal Medicine PC
Saint Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1067076 belongs to Maridel A Hernandez Internal Medicine PC in Saint Clair Shores, MI.
Certificate of Waiver, effective April 10, 2025, expires April 9, 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 of Waiver
- Certificate effective
- April 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 2007
- 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
- 23D1067076
- Lab name
- Maridel A Hernandez Internal Medicine PC
- Address
- 30140 Harper Avenue Suite 300, Saint Clair Shores, MI 48082
- Phone
- (313) 640-8400
- Fax
- (313) 640-9232
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ascension Medical Group MichiganCertificate for Provider-Performed Microscopy Procedures, Physician office23D0716443
- City of ST Clair Shores Fire DeptCertificate of Waiver, Rural health clinic23D1081812
- Clinical Research Institute of MichiganCertificate of Waiver, Physician office23D2026097
- Corewell Health Endocrine Clinic -Certificate of Waiver, Physician office23D2069830
- Corewell Health Family Medicine -Certificate of Waiver, Physician office23D0705401
- Corewell Health Family Medicine -Certificate of Waiver, Physician office23D0858241
- Corewell Health Weight Control -Certificate of Waiver, Physician office23D2091568
- Cosmetic Surgeons of MichiganCertificate of Waiver, Ambulatory surgery center23D2030727
Related
Questions
What is the CLIA number for Maridel A Hernandez Internal Medicine PC in Saint Clair Shores?
23D1067076, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maridel A Hernandez Internal Medicine PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1067076 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.