CLIA lab
CLIA 23D2289758: Origin Pediatrics
West Bloomfield, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2289758 belongs to Origin Pediatrics in West Bloomfield, MI.
Certificate of Waiver, effective September 15, 2025, expires September 14, 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
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2023
- 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
- 23D2289758
- Lab name
- Origin Pediatrics
- Address
- 7399 Middlebelt Road Suite 3, West Bloomfield, MI 48322
- Phone
- (248) 780-1695
- Fax
- (248) 717-0112
Annual test volume the lab reported
- Waived tests
- 100
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 Origin Pediatrics in West Bloomfield?
23D2289758, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Origin Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2289758 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.