CLIA lab

CLIA 23D2019550: Great Lakes Pain Management Center

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

CLIA number 23D2019550 belongs to Great Lakes Pain Management Center in Wyandotte, MI.

Certificate of Waiver, effective February 1, 2025, expires January 31, 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
February 1, 2025
Certificate expiration
January 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 1, 2011
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
23D2019550
Lab name
Great Lakes Pain Management Center
Address
2325 Eureka Avenue, Wyandotte, MI 48192
Phone
(734) 282-4200
Fax
(734) 282-4210

Annual test volume the lab reported

Waived tests
400

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

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Related

Questions

What is the CLIA number for Great Lakes Pain Management Center in Wyandotte?

23D2019550, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Great Lakes Pain Management Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2019550 expire?

The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.

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