01D2155939 CLIA NUMBER - EYE CENTER SOUTH

Laboratory Demographics

  • CLIA Code: 01D2155939
  • Facility Name: EYE CENTER SOUTH
  • Facility Address: 16685 US HWY 84
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 793-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD W. GAULDIN JR
  • NPI Number: 1114128733
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 01D2155939
LAB Type Physician Office
Facility Name EYE CENTER SOUTH
Street 16685 US HWY 84
City ANDALUSIA
State AL
ZIP 36420
Phone 334 793-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director DONALD W. GAULDIN JR

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