03D2103982 CLIA NUMBER - EYES ON SITE

Laboratory Demographics

  • CLIA Code: 03D2103982
  • Facility Name: EYES ON SITE
  • Facility Address: 2826 E BASELINE RD
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 626-8925
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. WINE
  • NPI Number: 1013163005
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2103982
LAB Type Physician Office
Facility Name EYES ON SITE
Street 2826 E BASELINE RD
City MESA
State AZ
ZIP 85204
Phone 480 626-8925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director JEFFREY D. WINE

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