CLIA lab
CLIA 23D1069189: Promedica Physicians Internal Medicine
Blissfield, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1069189 belongs to Promedica Physicians Internal Medicine in Blissfield, MI.
Certificate of Waiver, effective May 30, 2025, expires May 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 30, 2025
- Certificate expiration
- May 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 30, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 23D1069189
- Lab name
- Promedica Physicians Internal Medicine
- Additional name
- Pediatrics/Family Medicine
- Address
- 157 W Brooke Lane, Blissfield, MI 49228
- Phone
- (517) 486-2411
- Fax
- (517) 486-3967
Annual test volume the lab reported
- Waived tests
- 320
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blissfield, MI
Related
Questions
What is the CLIA number for Promedica Physicians Internal Medicine in Blissfield?
23D1069189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Physicians Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1069189 expire?
The CMS file lists May 29, 2027 as the certificate expiration date; the certificate took effect May 30, 2025.