CLIA lab
CLIA 23D2128452: Summit Oral & Maxillofacial Surgery
Grosse Pointe Woods, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2128452 belongs to Summit Oral & Maxillofacial Surgery in Grosse Pointe Woods, MI.
Certificate of Waiver, effective March 30, 2025, expires March 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 30, 2025
- Certificate expiration
- March 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2017
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- 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
- 23D2128452
- Lab name
- Summit Oral & Maxillofacial Surgery
- Address
- 20675 Mack Avenue, Grosse Pointe Woods, MI 48236
- Phone
- (586) 755-9340
- Fax
- (586) 755-9341
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Grosse Pointe Woods, MI
- Emcura Immediate Care Grosse Pointe WoodsCertificate of Waiver, Physician office23D2263582
- Ferrara Dermatology ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office23D0695096
- Henry Ford Health ST John HospitalCertificate of Accreditation, Independent23D0662603
- Henry Ford Hematology Oncology PathologyCertificate of Accreditation, Ancillary test site23D0370395
- Henry Ford Internal Medicine - Grosse Pointe WoodsCertificate of Waiver, Physician office23D0865479
- I E P Urgent Care Grosse PointeCertificate of Waiver, Other23D2256242
- James M Landers MD PLCCertificate of Waiver, Physician office23D0672508
- Kroger PharmacyCertificate of Waiver, Other23D2077073
- Lisa A Manz Dulac, MD Associates PCCertificate for Provider-Performed Microscopy Procedures, Physician office23D0916007
- Rivers of Grosse Pointe Skilled Nursing FacilityCertificate of Waiver, Skilled nursing or nursing facility23D2094325
Related
Questions
What is the CLIA number for Summit Oral & Maxillofacial Surgery in Grosse Pointe Woods?
23D2128452, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Oral & Maxillofacial Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2128452 expire?
The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.