23D2240512 CLIA NUMBER - CENTER ROAD VISION CARE

Laboratory Demographics

  • CLIA Code: 23D2240512
  • Facility Name: CENTER ROAD VISION CARE
  • Facility Address: 3385 S CENTER ROAD
    BURTON, MI
    ZIP 48519
  • Facility Phone: 810 244-3434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL ENGELMAN
  • NPI Number: 1831595388
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D2240512
LAB Type Physician Office
Facility Name CENTER ROAD VISION CARE
Street 3385 S CENTER ROAD
City BURTON
State MI
ZIP 48519
Phone 810 244-3434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Physician Office
Lab Director MICHAEL ENGELMAN

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