05D2067070 CLIA NUMBER - LAGUNA EYES OPTOMETRY PC

Laboratory Demographics

  • CLIA Code: 05D2067070
  • Facility Name: LAGUNA EYES OPTOMETRY PC
  • Facility Address: 1100 S COAST HWY STE 201
    LAGUNA BEACH, CA
    ZIP 92651
  • Facility Phone: 949 497-1769
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALICIA HARRISON
  • NPI Number: 1265632509
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2067070
LAB Type Physician Office
Facility Name LAGUNA EYES OPTOMETRY PC
Street 1100 S COAST HWY STE 201
City LAGUNA BEACH
State CA
ZIP 92651
Phone 949 497-1769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director ALICIA HARRISON

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