CLIA lab

CLIA 23D2275082: Grace Pediatrics PC

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

CLIA number 23D2275082 belongs to Grace Pediatrics PC in Pontiac, MI.

Certificate of Waiver, effective January 17, 2025, expires January 16, 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 17, 2025
Certificate expiration
January 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 17, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
23D2275082
Lab name
Grace Pediatrics PC
Address
44200 Woodward Avenue Suite 103, Pontiac, MI 48341
Phone
(248) 253-9600
Fax
(248) 206-0203

Annual test volume the lab reported

Waived tests
6,000

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

Other labs in Pontiac, MI

Related

Questions

What is the CLIA number for Grace Pediatrics PC in Pontiac?

23D2275082, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grace Pediatrics PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2275082 expire?

The CMS file lists January 16, 2027 as the certificate expiration date; the certificate took effect January 17, 2025.

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