23D2126299 CLIA NUMBER - ADVANCED OPTOMETRY

Laboratory Demographics

  • CLIA Code: 23D2126299
  • Facility Name: ADVANCED OPTOMETRY
  • Facility Address: 120 PAULSTER STREET
    CADILLAC, MI
    ZIP 49601
  • Facility Phone: 231 775-7341
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMANDA L. JOHNSTON
  • NPI Number: 1578535126
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D2126299
LAB Type Practitioner Other
Facility Name ADVANCED OPTOMETRY
Street 120 PAULSTER STREET
City CADILLAC
State MI
ZIP 49601
Phone 231 775-7341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Practitioner Other
Lab Director AMANDA L. JOHNSTON

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