CLIA lab

CLIA 23D2278268: Hazel Park Primary Care

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

CLIA number 23D2278268 belongs to Hazel Park Primary Care in Southgate, MI.

Certificate of Waiver, effective March 14, 2025, expires March 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
March 14, 2025
Certificate expiration
March 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 14, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
23D2278268
Lab name
Hazel Park Primary Care
Address
15450 Northline Road Suite 101, Southgate, MI 48195
Phone
(734) 225-1315
Fax
(877) 892-4080

Annual test volume the lab reported

Waived tests
200

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

Affiliated CLIA numbers

Other labs in Southgate, MI

Related

Questions

What is the CLIA number for Hazel Park Primary Care in Southgate?

23D2278268, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hazel Park Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 23D2278268 expire?

The CMS file lists March 13, 2027 as the certificate expiration date; the certificate took effect March 14, 2025.

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