CLIA lab

CLIA 23D2207217: Prime Pharmacy

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

CLIA number 23D2207217 belongs to Prime Pharmacy in Wyandotte, MI.

Certificate of Waiver, effective December 26, 2024, expires December 25, 2026.

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
December 26, 2024
Certificate expiration
December 25, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 26, 2020
Facility type
Pharmacy
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
23D2207217
Lab name
Prime Pharmacy
Address
1948 Ford Avenue, Wyandotte, MI 48192
Phone
(734) 309-7082

Annual test volume the lab reported

Waived tests
1,000

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

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Related

Questions

What is the CLIA number for Prime Pharmacy in Wyandotte?

23D2207217, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prime Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2207217 expire?

The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.

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