01D1083392 CLIA NUMBER - GREEN FAMILY EYE CARE

Laboratory Demographics

  • CLIA Code: 01D1083392
  • Facility Name: GREEN FAMILY EYE CARE
  • Facility Address: 1401 US HIGHWAY 80 WEST
    DEMOPOLIS, AL
    ZIP 36732
  • Facility Phone: 334 289-0466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY CHAD GREEN
  • NPI Number: 1720152739
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 01D1083392
LAB Type Physician Office
Facility Name GREEN FAMILY EYE CARE
Street 1401 US HIGHWAY 80 WEST
City DEMOPOLIS
State AL
ZIP 36732
Phone 334 289-0466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director GREGORY CHAD GREEN

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