23D2141784 CLIA NUMBER - MICHIGAN EYECARE INSTITUTE - LIVONIA

Laboratory Demographics

  • CLIA Code: 23D2141784
  • Facility Name: MICHIGAN EYECARE INSTITUTE - LIVONIA
  • Facility Address: 36300 SCHOOLCRAFT ROAD
    LIVONIA, MI
    ZIP 48150
  • Facility Phone: 734 464-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER J. CUKROWSKI
  • NPI Number: 1669459269
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 23D2141784
LAB Type Physician Office
Facility Name MICHIGAN EYECARE INSTITUTE - LIVONIA
Street 36300 SCHOOLCRAFT ROAD
City LIVONIA
State MI
ZIP 48150
Phone 734 464-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director WALTER J. CUKROWSKI

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This page was last updated on: 6/4/2025