CLIA lab
CLIA 23D1077928: Henry Ford Premier Family Physicians -
St Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D1077928 belongs to Henry Ford Premier Family Physicians - in St Clair Shores, MI.
Certificate of Waiver, effective April 8, 2025, expires April 7, 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 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 23D1077928
- Lab name
- Henry Ford Premier Family Physicians -
- Additional name
- ST Clair Shores
- Address
- 24100 Little Mack, St Clair Shores, MI 48080
- Phone
- (586) 443-4063
- Fax
- (586) 443-4129
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brightstar Care of Grosse Pointe/Se MacombCertificate of Waiver, Home health agency23D2131426
- Capitol Care LabCertificate of Waiver, Mobile lab23D2324592
- Corewell Health Obstetrics & Gynecology -Certificate of Waiver, Physician office23D2168688
- Corewell Health Urgent CareCertificate of Waiver, Other23D2167732
- Cornerstone PediatricsCertificate of Waiver, Physician office23D0365555
- Cornerstone PediatricsCertificate of Waiver, Physician office23D0370384
- Eastside Endoscopy CenterCertificate of Waiver, Ambulatory surgery center23D0909570
Related
Questions
What is the CLIA number for Henry Ford Premier Family Physicians - in St Clair Shores?
23D1077928, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry Ford Premier Family Physicians - hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D1077928 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.