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

Laboratory Demographics

  • CLIA Code: 23D2114214
  • Facility Name: LAKESIDE OPHTHALMOLOGY CENTER ROBERT G MOBLEY MD PC
  • Facility Address: 42524 HAYES SUITE 400
    CLINTON TOWNSHIP, MI
    ZIP 48038
  • Facility Phone: 586 263-1168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT G. MOBLEY
  • NPI Number: 1386724771
  • Taxonomy: 207W00000X - Ophthalmology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director ROBERT G. MOBLEY

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