CLIA lab

CLIA 23D2148109: Rostam Adult and Pediatric Medicine

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

CLIA number 23D2148109 belongs to Rostam Adult and Pediatric Medicine in Bad Axe, MI.

Certificate of Waiver, effective May 3, 2026, expires May 2, 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
May 3, 2026
Certificate expiration
May 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 3, 2018
Facility type
Physician office
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
23D2148109
Lab name
Rostam Adult and Pediatric Medicine
Address
262 S Port Crescent Street, Bad Axe, MI 48413
Phone
(989) 493-9327
Fax
(989) 623-0172

Annual test volume the lab reported

Waived tests
800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Bad Axe, MI

Related

Questions

What is the CLIA number for Rostam Adult and Pediatric Medicine in Bad Axe?

23D2148109, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rostam Adult and Pediatric Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2148109 expire?

The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.

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