CLIA lab
CLIA 23D2168121: Memorial Healthcare Surgical Associates
Owosso, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2168121 belongs to Memorial Healthcare Surgical Associates in Owosso, MI.
Certificate of Waiver, effective June 21, 2025, expires June 20, 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
- June 21, 2025
- Certificate expiration
- June 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 21, 2019
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 23D2168121
- Lab name
- Memorial Healthcare Surgical Associates
- Address
- 818 W King Street Suite 201, Attn Memorial Surgical Associates, Owosso, MI 48867
- Phone
- (989) 723-3168
- Fax
- (989) 725-2962
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Great Lakes Bay Health CentersCertificate of Waiver, Federally qualified health center23D2037221
- Great Lakes Bay Health Centers ShiawasseeCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center23D1082877
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- John R Behm, DOCertificate of Waiver, Physician office23D0964990
- Justin Marone DOCertificate for Provider-Performed Microscopy Procedures, Physician office23D0894106
- Manjali S Shastry MD PCCertificate of Waiver, Physician office23D1078876
Related
Questions
What is the CLIA number for Memorial Healthcare Surgical Associates in Owosso?
23D2168121, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Healthcare Surgical Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2168121 expire?
The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.