CLIA lab
CLIA 23D2075798: Lourdes Assisted Living
Waterford, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2075798 belongs to Lourdes Assisted Living in Waterford, MI.
Certificate of Waiver, effective April 7, 2026, expires April 6, 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
- April 7, 2026
- Certificate expiration
- April 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 7, 2014
- Facility type
- Assisted living facility
- 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
- 23D2075798
- Lab name
- Lourdes Assisted Living
- Additional name
- Mendalson Home
- Address
- 2450 Watkins Lake Rd., Waterford, MI 48328
- Phone
- (248) 618-6362
- Fax
- (248) 618-6361
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CNS HealthcareCertificate of Waiver, Other23D2109867
- Canterbury-On-The-LakeCertificate of Waiver, Skilled nursing or nursing facility23D0906358
- Community Programs, IncCertificate of Waiver, Other23D0901481
- Cory J Rubin MD PCCertificate of Waiver, Physician office23D2171170
- Devyani Khambete MD PCCertificate of Waiver, Physician office23D1049625
- First Choice Urgent Care - WaterfordCertificate of Waiver, Ancillary test site23D2079803
- First Choice Urgent Care - Waterford - HighlandCertificate of Waiver, Ancillary test site23D2349843
- Glenn Bauer MDCertificate of Waiver, Physician office23D0712430
Related
Questions
What is the CLIA number for Lourdes Assisted Living in Waterford?
23D2075798, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lourdes Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2075798 expire?
The CMS file lists April 6, 2028 as the certificate expiration date; the certificate took effect April 7, 2026.