03D2087804 CLIA NUMBER - RIVIERA OPTICARE, INC

Laboratory Demographics

  • CLIA Code: 03D2087804
  • Facility Name: RIVIERA OPTICARE, INC
  • Facility Address: 555 N GILBERT RD, STE 101
    MESA, AZ
    ZIP 85203
  • Facility Phone: 000 480-8279
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN RECKELL
  • NPI Number: 1972796100
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2087804
LAB Type Physician Office
Facility Name RIVIERA OPTICARE, INC
Street 555 N GILBERT RD, STE 101
City MESA
State AZ
ZIP 85203
Phone 000 480-8279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director SUSAN RECKELL

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