CLIA lab
CLIA 23D2278695: Hazel Park Primary Care
Hazel Park, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2278695 belongs to Hazel Park Primary Care in Hazel Park, MI.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D2278695
- Lab name
- Hazel Park Primary Care
- Address
- 624 E 9 Mile Road Suite B, Hazel Park, MI 48030
- Phone
- (248) 629-7497
- Fax
- (248) 397-8474
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 Hazel Park, MI
- Ascension Mi School-Based Health CenterCertificate of Waiver, School or student health service23D2167989
- Bi County Healthcare PCCertificate of Waiver, Physician office23D1080486
- Dearborn Pain Center PLLCCertificate of Waiver, Other23D2160253
- Fresenius Kidney Care Hazel ParkCertificate of Waiver, End stage renal disease dialysis facility23D2162976
- Hazel Park Primary CareCertificate of Accreditation, Physician office23D2179760
- Hazel Park SchoolsCertificate of Waiver, School or student health service23D2350424
- Hazel Park Urgent CareCertificate of Waiver, Physician office23D2066863
- Jawad Agha MD PCCertificate of Waiver, Physician office23D2152194
- Kids First Pediatrics, PLLCCertificate of Waiver, Physician office23D2084938
- Kroger PharmacyCertificate of Waiver, Other23D2087497
Related
Questions
What is the CLIA number for Hazel Park Primary Care in Hazel Park?
23D2278695, 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 23D2278695 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.