23D0877275 CLIA NUMBER - LAKESHORE EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D0877275
  • Facility Name: LAKESHORE EYE SURGERY CENTER
  • Facility Address: 21711 GREATER MACK
    ST CLAIR SHORES, MI
    ZIP 48080
  • Facility Phone: 810 774-0393
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES W. KLEIN, MD
  • NPI Number: 1508927658
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 23D0877275
LAB Type Ambulatory Surgery Center
Facility Name LAKESHORE EYE SURGERY CENTER
Street 21711 GREATER MACK
City ST CLAIR SHORES
State MI
ZIP 48080
Phone 810 774-0393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Ambulatory Surgery Center
Lab Director JAMES W. KLEIN, MD

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This page was last updated on: 9/29/2025