05D2057671 CLIA NUMBER - EYE CARE INSTITUTE AT WESTERN U

Laboratory Demographics

  • CLIA Code: 05D2057671
  • Facility Name: EYE CARE INSTITUTE AT WESTERN U
  • Facility Address: 795 E SECOND ST STE 2 EYE CARE CENTER
    POMONA, CA
    ZIP 91766
  • Facility Phone: 909 706-3851
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RAYMOND R. MAEDA, OD

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CLIA Record

Field Name Field Value
CLIA Number 05D2057671
LAB Type Practitioner Other
Facility Name EYE CARE INSTITUTE AT WESTERN U
Street 795 E SECOND ST STE 2 EYE CARE CENTER
City POMONA
State CA
ZIP 91766
Phone 909 706-3851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Practitioner Other
Lab Director RAYMOND R. MAEDA, OD

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This page was last updated on: 6/4/2025