23D2095167 CLIA NUMBER - GREAT LAKES EYE CARE

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CLIA Record

Field Name Field Value
CLIA Number 23D2095167
LAB Type Physician Office
Facility Name GREAT LAKES EYE CARE
Street 120 LONGMEADOW VILLAGE DRIVE
City NILES
State MI
ZIP 49120
Phone 269 428-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director DAVID L. COOK

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