23D2316137 CLIA NUMBER - MAIN STREET OPTOMETRY - PINCKNEY

Laboratory Demographics

  • CLIA Code: 23D2316137
  • Facility Name: MAIN STREET OPTOMETRY - PINCKNEY
  • Facility Address: 907 E MAIN STREET
    PINCKNEY, MI
    ZIP 48169
  • Facility Phone: 734 878-7444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT R. BALTIERRA
  • NPI Number: 1801954565
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 23D2316137
LAB Type Physician Office
Facility Name MAIN STREET OPTOMETRY - PINCKNEY
Street 907 E MAIN STREET
City PINCKNEY
State MI
ZIP 48169
Phone 734 878-7444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director ROBERT R. BALTIERRA

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