23D2050945 CLIA NUMBER - SOUTHLAND EYE CLINIC P C

Laboratory Demographics

  • CLIA Code: 23D2050945
  • Facility Name: SOUTHLAND EYE CLINIC P C
  • Facility Address: 15055 S PLAZA DRIVE
    TAYLOR, MI
    ZIP 48180
  • Facility Phone: 734 287-2666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARILYN K. BELAMARIC
  • NPI Number: 1740464775
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2050945
LAB Type Physician Office
Facility Name SOUTHLAND EYE CLINIC P C
Street 15055 S PLAZA DRIVE
City TAYLOR
State MI
ZIP 48180
Phone 734 287-2666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director MARILYN K. BELAMARIC

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