CLIA lab
CLIA 23D2155592: Pelham Primary Care
Dearborn, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2155592 belongs to Pelham Primary Care in Dearborn, MI.
Certificate of Waiver, effective October 2, 2024, expiration date October 1, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 2, 2024
- Certificate expiration
- October 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 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
- 23D2155592
- Lab name
- Pelham Primary Care
- Address
- 3815 Pelham Street Suite 7, Dearborn, MI 48124
- Phone
- (313) 789-7635
- Fax
- (313) 789-7018
Annual test volume the lab reported
- Waived tests
- 360
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Medical Center PLLCCertificate of Waiver, Physician office23D0979238
- Advanced Ob-Gyn of Dearborn, PCCertificate of Waiver, Physician office23D2059029
- Advanced Surgery CenterCertificate of Waiver, Ambulatory surgery center23D2059235
- Advanced Urogynecology of Michigan PCCertificate of Waiver, Physician office23D1051874
- Ali Achira MD PCCertificate of Waiver, Physician office23D2228675
- Ali Hazimeh PLLCCertificate of Waiver, Physician office23D2182501
- Ali Nasser MD PCCertificate of Waiver, Physician office23D1030724
Related
Questions
What is the CLIA number for Pelham Primary Care in Dearborn?
23D2155592, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pelham Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2155592 expire?
The CMS file lists October 1, 2026 as the certificate expiration date; the certificate took effect October 2, 2024.