05D1055401 CLIA NUMBER - MACY EYE CENTER

Laboratory Demographics

  • CLIA Code: 05D1055401
  • Facility Name: MACY EYE CENTER
  • Facility Address: 8635 W THIRD STREET #360W
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 657-2777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN I. MACY
  • NPI Number: 1881877363
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 05D1055401
LAB Type Physician Office
Facility Name MACY EYE CENTER
Street 8635 W THIRD STREET #360W
City LOS ANGELES
State CA
ZIP 90048
Phone 310 657-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director JONATHAN I. MACY

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