CLIA lab

CLIA 23D1100339: Henry Ford Diagnostic Center Michigan Ave

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

CLIA number 23D1100339 belongs to Henry Ford Diagnostic Center Michigan Ave in Jackson, MI.

Certificate of Waiver, effective June 4, 2025, expires June 3, 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
June 4, 2025
Certificate expiration
June 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2009
Facility type
Ancillary test site
Ownership (control type)
Private
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
23D1100339
Lab name
Henry Ford Diagnostic Center Michigan Ave
Address
1201 E Michigan Avenue, Jackson, MI 49201
Phone
(517) 205-1830

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jackson, MI

Related

Questions

What is the CLIA number for Henry Ford Diagnostic Center Michigan Ave in Jackson?

23D1100339, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Henry Ford Diagnostic Center Michigan Ave hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D1100339 expire?

The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.

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