01D0892689 CLIA NUMBER - ARCHER OPTICAL

Laboratory Demographics

  • CLIA Code: 01D0892689
  • Facility Name: ARCHER OPTICAL
  • Facility Address: 400 THIRD AVE
    WEST POINT, GA
    ZIP 31833
  • Facility Phone: 706 643-2020
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROY B. ARCHER III
  • NPI Number: 1174661516
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0892689
LAB Type Practitioner Other
Facility Name ARCHER OPTICAL
Street 400 THIRD AVE
City WEST POINT
State GA
ZIP 31833
Phone 706 643-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Practitioner Other
Lab Director ROY B. ARCHER III

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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