05D2098050 CLIA NUMBER - SPECTRUM EYECARE OPTOMETRY INC

Laboratory Demographics

  • CLIA Code: 05D2098050
  • Facility Name: SPECTRUM EYECARE OPTOMETRY INC
  • Facility Address: 425 W BONITA AVE STE 110B
    SAN DIMAS, CA
    ZIP 91773
  • Facility Phone: 909 394-0462
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. SWEARINGEN
  • NPI Number: 1801949573
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2098050
LAB Type Physician Office
Facility Name SPECTRUM EYECARE OPTOMETRY INC
Street 425 W BONITA AVE STE 110B
City SAN DIMAS
State CA
ZIP 91773
Phone 909 394-0462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Physician Office
Lab Director DAVID A. SWEARINGEN

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This page was last updated on: 3/20/2025