23D2046921 CLIA NUMBER - LAKE LAZER EYE CENTER

Laboratory Demographics

  • CLIA Code: 23D2046921
  • Facility Name: LAKE LAZER EYE CENTER
  • Facility Address: 35776 HARPER AVE
    CLINTON TOWNSHIP, MI
    ZIP 48035
  • Facility Phone: 586 792-3891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHABBIR F. KHAMBATI
  • NPI Number: 1003951575
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2046921
LAB Type Physician Office
Facility Name LAKE LAZER EYE CENTER
Street 35776 HARPER AVE
City CLINTON TOWNSHIP
State MI
ZIP 48035
Phone 586 792-3891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director SHABBIR F. KHAMBATI

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