CLIA lab
CLIA 23D2270926: 1279 A M G G Holly Road
Grand Blanc, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2270926 belongs to 1279 A M G G Holly Road in Grand Blanc, MI.
Certificate of Waiver, effective October 25, 2024, expires October 24, 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
- October 25, 2024
- Certificate expiration
- October 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2022
- 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
- 23D2270926
- Lab name
- 1279 A M G G Holly Road
- Address
- 8447 Holly Road Suite A, Grand Blanc, MI 48439
- Phone
- (810) 695-7902
- Fax
- (810) 695-7908
Annual test volume the lab reported
- Waived tests
- 2,000
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 1279 A M G G Holly Road in Grand Blanc?
23D2270926, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1279 A M G G Holly Road hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2270926 expire?
The CMS file lists October 24, 2026 as the certificate expiration date; the certificate took effect October 25, 2024.