CLIA lab
CLIA 23D1069081: Waterford Surgical Center
Waterford, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1069081 belongs to Waterford Surgical Center in Waterford, MI.
Certificate of Waiver, effective December 14, 2025, expires December 13, 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
- December 14, 2025
- Certificate expiration
- December 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 29, 2007
- Facility type
- Ambulatory surgery center
- 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
- 23D1069081
- Lab name
- Waterford Surgical Center
- Address
- 5220 Highland Road Suite 100, Waterford, MI 48327
- Phone
- (248) 886-5555
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bloom Wellness Direct Primary Care, PLLCCertificate of Waiver, Physician office23D2304470
- CNS HealthcareCertificate of Waiver, Other23D2109867
- Canterbury-On-The-LakeCertificate of Waiver, Skilled nursing or nursing facility23D0906358
- Community Programs, IncCertificate of Waiver, Other23D0901481
- Cory J Rubin MD PCCertificate of Waiver, Physician office23D2171170
- Devyani Khambete MD PCCertificate of Waiver, Physician office23D1049625
- First Choice Urgent Care - WaterfordCertificate of Waiver, Ancillary test site23D2079803
- First Choice Urgent Care - Waterford - HighlandCertificate of Waiver, Ancillary test site23D2349843
- Glenn Bauer MDCertificate of Waiver, Physician office23D0712430
Related
Questions
What is the CLIA number for Waterford Surgical Center in Waterford?
23D1069081, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Waterford Surgical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1069081 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.