CLIA lab

CLIA 23D2128454: Summit Oral & Maxillofacial Surgery

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

CLIA number 23D2128454 belongs to Summit Oral & Maxillofacial Surgery in Warren, 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

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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
23D2128454
Lab name
Summit Oral & Maxillofacial Surgery
Address
29427 Ryan Road, Warren, MI 48092
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 Warren, MI

Related

Questions

What is the CLIA number for Summit Oral & Maxillofacial Surgery in Warren?

23D2128454, 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 23D2128454 expire?

The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.

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