23D2099695 CLIA NUMBER - SIMONE EYE CENTER

Laboratory Demographics

  • CLIA Code: 23D2099695
  • Facility Name: SIMONE EYE CENTER
  • Facility Address: 29245 RYAN ROAD SUITE 100
    WARREN, MI
    ZIP 48092
  • Facility Phone: 586 558-2981
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY THRAIL
  • NPI Number: 1417374752
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2099695
LAB Type Physician Office
Facility Name SIMONE EYE CENTER
Street 29245 RYAN ROAD SUITE 100
City WARREN
State MI
ZIP 48092
Phone 586 558-2981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director WENDY THRAIL

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