CLIA lab
CLIA 23D2010433: Promedica Charles & Virginia Hickman Outreach
Adrian, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2010433 belongs to Promedica Charles & Virginia Hickman Outreach in Adrian, MI.
Certificate of Waiver, effective July 28, 2026, expires July 27, 2028.
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
- July 28, 2026
- Certificate expiration
- July 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 28, 2010
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2010433
- Lab name
- Promedica Charles & Virginia Hickman Outreach
- Address
- 5640 N Adrian Highway, Adrian, MI 49221
- Phone
- (419) 291-4019
Annual test volume the lab reported
- Waived tests
- 589
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Adrian, MI
- A Hajyousef, MD, PCCertificate of Waiver, Physician office23D0378607
- Adrian Bay Rehab and Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility23D0378679
- Adrian College Student Health ClinicCertificate of Waiver, School or student health service23D0978062
- Adrian Fire DepartmentCertificate of Waiver, Other23D1041483
- Adrian Township Fire DepartmentCertificate of Waiver, Ambulance23D1073403
- Adrian Urgent Care, PplcCertificate of Waiver, Other23D2091123
- Bio Medical Applications of Michigan, IncCertificate of Waiver, End stage renal disease dialysis facility23D0663994
- Brookdale AdrianCertificate of Waiver, Assisted living facility23D2083833
- Charles & Virginia Hickman HospitalCertificate of Accreditation, Hospital23D0378647
- Charles and Virginia Hickman HospitalCertificate for Provider-Performed Microscopy Procedures, Hospital23D2024426
Related
Questions
What is the CLIA number for Promedica Charles & Virginia Hickman Outreach in Adrian?
23D2010433, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Promedica Charles & Virginia Hickman Outreach hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2010433 expire?
The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.