CLIA lab
CLIA 23D2160552: Summit Oral and Maxillofacial Surgery
Washington Township, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2160552 belongs to Summit Oral and Maxillofacial Surgery in Washington Township, MI.
Certificate of Waiver, effective January 14, 2025, expires January 13, 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
- January 14, 2025
- Certificate expiration
- January 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 2019
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2160552
- Lab name
- Summit Oral and Maxillofacial Surgery
- Address
- 12150 30 Mile Road Suite 202, Washington Township, MI 48095
- Phone
- (586) 755-9340
- Fax
- (586) 755-9341
Annual test volume the lab reported
- Waived tests
- 5
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Washington Township, MI
- Arcturus Healthcare, PLCCertificate for Provider-Performed Microscopy Procedures, Physician office23D2044804
- Campground Pediatrics + Wellness Center PLLCCertificate of Waiver, Physician office23D2239769
- Henry Ford Academic Internal Medicine WashingtonCertificate of Waiver, Physician office23D2146225
- Meijer Pharmacy #177Certificate of Waiver, Pharmacy23D1008366
- Washington Township Fire DeptCertificate of Waiver, Ambulance23D1067620
Related
Questions
What is the CLIA number for Summit Oral and Maxillofacial Surgery in Washington Township?
23D2160552, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Oral and Maxillofacial Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2160552 expire?
The CMS file lists January 13, 2027 as the certificate expiration date; the certificate took effect January 14, 2025.