23D2140589 CLIA NUMBER - CAPITAL CITY VISION CENTER

Laboratory Demographics

  • CLIA Code: 23D2140589
  • Facility Name: CAPITAL CITY VISION CENTER
  • Facility Address: 1865 W GRAND RIVER
    OKEMOS, MI
    ZIP 48864
  • Facility Phone: 517 349-2393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLEEN P. PHILLIPS
  • NPI Number: 1871761965
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D2140589
LAB Type Physician Office
Facility Name CAPITAL CITY VISION CENTER
Street 1865 W GRAND RIVER
City OKEMOS
State MI
ZIP 48864
Phone 517 349-2393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director COLLEEN P. PHILLIPS

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