CLIA lab
CLIA 23D0877275: Lakeshore Eye Surgery Center
St Clair Shores, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D0877275 belongs to Lakeshore Eye Surgery Center in St Clair Shores, MI.
Certificate of Waiver, effective September 30, 2025, expires September 29, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 1993
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 23D0877275
- Lab name
- Lakeshore Eye Surgery Center
- Address
- 21711 Greater Mack, St Clair Shores, MI 48080
- Phone
- (810) 774-0393
Annual test volume the lab reported
- Waived tests
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Audrey M Sim, MD, PLLCCertificate of Waiver, Physician office23D2010844
- Beechwood Manor, IncCertificate of Waiver, Assisted living facility23D2216440
- Brightstar Care of Grosse Pointe/Se MacombCertificate of Waiver, Home health agency23D2131426
- Capitol Care LabCertificate of Waiver, Mobile lab23D2324592
- Corewell Health Obstetrics & Gynecology -Certificate of Waiver, Physician office23D2168688
- Corewell Health Urgent CareCertificate of Waiver, Other23D2167732
- Cornerstone PediatricsCertificate of Waiver, Physician office23D0365555
- Cornerstone PediatricsCertificate of Waiver, Physician office23D0370384
- Eastside Endoscopy CenterCertificate of Waiver, Ambulatory surgery center23D0909570
Related
Questions
What is the CLIA number for Lakeshore Eye Surgery Center in St Clair Shores?
23D0877275, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeshore Eye Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D0877275 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.