CLIA lab
CLIA 23D2312586: 12 Mile Surgery Center, PLLC
St Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2312586 belongs to 12 Mile Surgery Center, PLLC in St Clair Shores, MI.
Certificate of Waiver, effective October 15, 2024, expiration date October 14, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 15, 2024
- Certificate expiration
- October 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 15, 2024
- Facility type
- Ambulatory surgery center
- 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
- 23D2312586
- Lab name
- 12 Mile Surgery Center, PLLC
- Address
- 29000 Little Mack Suite C, St Clair Shores, MI 48081
- Phone
- (586) 899-4984
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Audrey M Sim, MD, PLLCCertificate of Waiver, Physician office23D2010844
- Beechwood Manor, IncCertificate of Waiver, Assisted living facility23D2216440
- Brightstar Care of Grosse Pointe/Se MacombCertificate of Waiver, Home health agency23D2131426
- Capitol Care LabCertificate of Waiver, Mobile lab23D2324592
- Corewell Health Obstetrics & Gynecology -Certificate of Waiver, Physician office23D2168688
- Corewell Health Urgent CareCertificate of Waiver, Other23D2167732
- Cornerstone PediatricsCertificate of Waiver, Physician office23D0365555
- Cornerstone PediatricsCertificate of Waiver, Physician office23D0370384
- Eastside Endoscopy CenterCertificate of Waiver, Ambulatory surgery center23D0909570
- Eastside Family Doctor PCCertificate of Waiver, Physician office23D2316404
Related
Questions
What is the CLIA number for 12 Mile Surgery Center, PLLC in St Clair Shores?
23D2312586, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 12 Mile Surgery Center, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2312586 expire?
The CMS file lists October 14, 2026 as the certificate expiration date; the certificate took effect October 15, 2024.