23D2119222 CLIA NUMBER - AEG MICHIGAN PROFESSIONAL PLLC DBA SUBURBAN EYE CARE

Laboratory Demographics

  • CLIA Code: 23D2119222
  • Facility Name: AEG MICHIGAN PROFESSIONAL PLLC DBA SUBURBAN EYE CARE
  • Facility Address: 32415 FIVE MILE ROAD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: (734) 525-8170
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYLA SMITH

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CLIA Record

Field Name Field Value
CLIA Number 23D2119222
LAB Type Physician Office
Facility Name AEG MICHIGAN PROFESSIONAL PLLC DBA SUBURBAN EYE CARE
Street 32415 FIVE MILE ROAD
City LIVONIA
State MI
ZIP 48154
Phone 7345258170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director KAYLA SMITH

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This page was last updated on: 6/29/2026