CLIA lab
CLIA 23D2028117: Im PCP/ Kingswood Internal Medicine
Bloomfield Hills, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2028117 belongs to Im PCP/ Kingswood Internal Medicine in Bloomfield Hills, MI.
Certificate of Waiver, effective August 9, 2025, expires August 8, 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
- August 9, 2025
- Certificate expiration
- August 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 9, 2011
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 23D2028117
- Lab name
- Im PCP/ Kingswood Internal Medicine
- Address
- 42557 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304
- Phone
- (248) 253-1468
- Fax
- (248) 253-1472
Annual test volume the lab reported
- Waived tests
- 120
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 Im PCP/ Kingswood Internal Medicine in Bloomfield Hills?
23D2028117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Im PCP/ Kingswood Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2028117 expire?
The CMS file lists August 8, 2027 as the certificate expiration date; the certificate took effect August 9, 2025.