01D2058629 CLIA NUMBER - ATHENS EYE CLINIC

Laboratory Demographics

  • CLIA Code: 01D2058629
  • Facility Name: ATHENS EYE CLINIC
  • Facility Address: 22097 MEDICAL VILLAGE DR
    ATHENS, AL
    ZIP 35613
  • Facility Phone: 256 232-8240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROL SANDLIN RN
  • NPI Number: 1871871277
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 01D2058629
LAB Type Physician Office
Facility Name ATHENS EYE CLINIC
Street 22097 MEDICAL VILLAGE DR
City ATHENS
State AL
ZIP 35613
Phone 256 232-8240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director CAROL SANDLIN RN

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