CLIA lab
CLIA 23D2321958: Bold Mark Innovative Solutions LLC
Dearborn, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2321958 belongs to Bold Mark Innovative Solutions LLC in Dearborn, MI.
Certificate of Waiver, effective April 14, 2025, expires April 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
- April 14, 2025
- Certificate expiration
- April 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 2025
- Facility type
- Mobile lab
- 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
- 23D2321958
- Lab name
- Bold Mark Innovative Solutions LLC
- Address
- 16013 Knollwood Drive, Dearborn, MI 48120
- Phone
- (248) 496-2168
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Surgery CenterCertificate of Waiver, Ambulatory surgery center23D2059235
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- Ali Hazimeh PLLCCertificate of Waiver, Physician office23D2182501
- Ali Nasser MD PCCertificate of Waiver, Physician office23D1030724
Related
Questions
What is the CLIA number for Bold Mark Innovative Solutions LLC in Dearborn?
23D2321958, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bold Mark Innovative Solutions LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2321958 expire?
The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.