23D2330395 CLIA NUMBER - BIANCA KIZY MD PLLC DBA THE KALT GOLDBERG EYE CENTER

Laboratory Demographics

  • CLIA Code: 23D2330395
  • Facility Name: BIANCA KIZY MD PLLC DBA THE KALT GOLDBERG EYE CENTER
  • Facility Address: 30301 WOODWARD AVENUE SUITE 101
    ROYAL OAK, MI
    ZIP 48073
  • Facility Phone: 248 398-2525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BIANCA J. KIZY
  • NPI Number: 1548655152
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 23D2330395
LAB Type Physician Office
Facility Name BIANCA KIZY MD PLLC DBA THE KALT GOLDBERG EYE CENTER
Street 30301 WOODWARD AVENUE SUITE 101
City ROYAL OAK
State MI
ZIP 48073
Phone 248 398-2525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director BIANCA J. KIZY

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