23D0990101 CLIA NUMBER - KENSINGTON OPHTHALMOLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 23D0990101
  • Facility Name: KENSINGTON OPHTHALMOLOGY, PLLC
  • Facility Address: 10201 E GRAND RIVER AVE
    BRIGHTON, MI
    ZIP 48116
  • Facility Phone: 810 229-3363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY S. HOLM
  • NPI Number: 1821026493
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D0990101
LAB Type Physician Office
Facility Name KENSINGTON OPHTHALMOLOGY, PLLC
Street 10201 E GRAND RIVER AVE
City BRIGHTON
State MI
ZIP 48116
Phone 810 229-3363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director HOLLY S. HOLM

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