23D2114214 CLIA NUMBER - LAKESIDE OPHTHALMOLOGY CENTER ROBERT G MOBLEY MD PC

Laboratory Demographics

CLIA Number: 23D2114214

Facility Name: LAKESIDE OPHTHALMOLOGY CENTER ROBERT G MOBLEY MD PC

Facility Address:
42524 HAYES SUITE 400
CLINTON TOWNSHIP, MI
ZIP 48038
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Facility Phone Number: 586 263-1168

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386724771

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 23D2114214
LAB Type Physician Office
Facility Name LAKESIDE OPHTHALMOLOGY CENTER ROBERT G MOBLEY MD PC
Street 42524 HAYES SUITE 400
City CLINTON TOWNSHIP
State MI
ZIP 48038
Phone 586 263-1168
CertificateType 4
CertificateEffectiveDate 6/9/2022
CertificateExpirationDate 6/8/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024