23D1056537 CLIA NUMBER - ANDERSEN EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 23D1056537
  • Facility Name: ANDERSEN EYE SURGERY CENTER LLC
  • Facility Address: 5161 CARDINAL PARK DRIVE
    SAGINAW, MI
    ZIP 48604
  • Facility Phone: 989 249-1018
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGORY C. HAZEN
  • NPI Number: 1124071550
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1056537
LAB Type Ambulatory Surgery Center
Facility Name ANDERSEN EYE SURGERY CENTER LLC
Street 5161 CARDINAL PARK DRIVE
City SAGINAW
State MI
ZIP 48604
Phone 989 249-1018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Ambulatory Surgery Center
Lab Director GREGORY C. HAZEN

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