23D1059394 CLIA NUMBER - GREAT LAKES EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 23D1059394
  • Facility Name: GREAT LAKES EYE SURGERY CENTER
  • Facility Address: 2393 SCHUST ROAD
    SAGINAW, MI
    ZIP 48603
  • Facility Phone: 989 793-2820
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FARHAD K. SHOKOOHI
  • NPI Number: 1427090976
  • Taxonomy: 207WX0107X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D1059394
LAB Type Ambulatory Surgery Center
Facility Name GREAT LAKES EYE SURGERY CENTER
Street 2393 SCHUST ROAD
City SAGINAW
State MI
ZIP 48603
Phone 989 793-2820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Ambulatory Surgery Center
Lab Director FARHAD K. SHOKOOHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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