01D2314012 CLIA NUMBER - FLORENCE EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 01D2314012
  • Facility Name: FLORENCE EYE SURGERY CENTER
  • Facility Address: 4515 HELTON DRIVE
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 415-6110
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TAMARA D. HARGROVE
  • NPI Number: 1326040379
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D2314012
LAB Type Ambulatory Surgery Center
Facility Name FLORENCE EYE SURGERY CENTER
Street 4515 HELTON DRIVE
City FLORENCE
State AL
ZIP 35630
Phone 256 415-6110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Ambulatory Surgery Center
Lab Director TAMARA D. HARGROVE

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