03D2272063 CLIA NUMBER - MOUNTAINVIEW VISION CENTER

Laboratory Demographics

  • CLIA Code: 03D2272063
  • Facility Name: MOUNTAINVIEW VISION CENTER
  • Facility Address: 2215 HUALAPAI MOUNTAIN RD STE D
    KINGMAN, AZ
    ZIP 86401
  • Facility Phone: 928 718-1009
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RICHARD W. BULLEN
  • NPI Number: 1225774524
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2272063
LAB Type Practitioner Other
Facility Name MOUNTAINVIEW VISION CENTER
Street 2215 HUALAPAI MOUNTAIN RD STE D
City KINGMAN
State AZ
ZIP 86401
Phone 928 718-1009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Practitioner Other
Lab Director RICHARD W. BULLEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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