23D2030123 CLIA NUMBER - CONSULTANTS IN OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 23D2030123
  • Facility Name: CONSULTANTS IN OPHTHALMOLOGY
  • Facility Address: 7633 E JEFFERSON, STE 120
    DETROIT, MI
    ZIP 48214
  • Facility Phone: 313 824-8941
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OTIS B. FERGUSON III
  • NPI Number: 1780779678
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2030123
LAB Type Physician Office
Facility Name CONSULTANTS IN OPHTHALMOLOGY
Street 7633 E JEFFERSON, STE 120
City DETROIT
State MI
ZIP 48214
Phone 313 824-8941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director OTIS B. FERGUSON III

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