03D2296888 CLIA NUMBER - KATHY VU NGO, PLLC (DBA EYE LOVE SMILES EYE & DENTAL CARE

Laboratory Demographics

  • CLIA Code: 03D2296888
  • Facility Name: KATHY VU NGO, PLLC (DBA EYE LOVE SMILES EYE & DENTAL CARE
  • Facility Address: 11851 N 51ST AVE #120A
    GLENDALE, AZ
    ZIP 85304
  • Facility Phone: 623 414-6476
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATHY VU
  • NPI Number: 1073778601
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2296888
LAB Type Practitioner Other
Facility Name KATHY VU NGO, PLLC (DBA EYE LOVE SMILES EYE & DENTAL CARE
Street 11851 N 51ST AVE #120A
City GLENDALE
State AZ
ZIP 85304
Phone 623 414-6476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Practitioner Other
Lab Director KATHY VU

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