03D2318942 CLIA NUMBER - ALPINE EYECARE LLC

Laboratory Demographics

  • CLIA Code: 03D2318942
  • Facility Name: ALPINE EYECARE LLC
  • Facility Address: 42680 HWY 180
    ALPINE, AZ
    ZIP 85920
  • Facility Phone: 928 339-3939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES E. FERRIN
  • NPI Number: 1306577820
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2318942
LAB Type Physician Office
Facility Name ALPINE EYECARE LLC
Street 42680 HWY 180
City ALPINE
State AZ
ZIP 85920
Phone 928 339-3939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director CHARLES E. FERRIN

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