05D2113552 CLIA NUMBER - GRANITE POINTE EYE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2113552
  • Facility Name: GRANITE POINTE EYE CARE, INC
  • Facility Address: 9221 SIERRA COLLEGE BLVD SUITE 130
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 797-6747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN OKAMOTO, TPL
  • NPI Number: 1538245162
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2113552
LAB Type Physician Office
Facility Name GRANITE POINTE EYE CARE, INC
Street 9221 SIERRA COLLEGE BLVD SUITE 130
City ROSEVILLE
State CA
ZIP 95661
Phone 916 797-6747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director JOHN OKAMOTO, TPL

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