CLIA lab

CLIA 23D2084117: Brookdale Grand Blanc - Al

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

CLIA number 23D2084117 belongs to Brookdale Grand Blanc - Al in Holly, MI.

Certificate of Waiver, effective September 18, 2026, expires September 17, 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
September 18, 2026
Certificate expiration
September 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 18, 2014
Facility type
Assisted living facility
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
23D2084117
Lab name
Brookdale Grand Blanc - Al
Address
5080 Baldwin Road, Holly, MI 48442
Phone
(810) 953-7111
Fax
(810) 953-7119

Annual test volume the lab reported

Waived tests
500

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 Brookdale Grand Blanc - Al in Holly?

23D2084117, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Grand Blanc - Al hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2084117 expire?

The CMS file lists September 17, 2028 as the certificate expiration date; the certificate took effect September 18, 2026.

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