23D2213064 CLIA NUMBER - FULL SCOPE EYECARE

Laboratory Demographics

  • CLIA Code: 23D2213064
  • Facility Name: FULL SCOPE EYECARE
  • Facility Address: 1221 S ORTONVILLE ROAD SUITE A
    ORTONVILLE, MI
    ZIP 48462
  • Facility Phone: 248 793-3131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEON D. INGHAM
  • NPI Number: 1336753599
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 23D2213064
LAB Type Physician Office
Facility Name FULL SCOPE EYECARE
Street 1221 S ORTONVILLE ROAD SUITE A
City ORTONVILLE
State MI
ZIP 48462
Phone 248 793-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director LEON D. INGHAM

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