10D2070740 CLIA NUMBER - BRANDON EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2070740
  • Facility Name: BRANDON EYE ASSOCIATES
  • Facility Address: 540 MEDICAL OAKS AVE STE 103
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 684-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROON ILYAS
  • NPI Number: 1215969357
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2070740
LAB Type Physician Office
Facility Name BRANDON EYE ASSOCIATES
Street 540 MEDICAL OAKS AVE STE 103
City BRANDON
State FL
ZIP 33511
Phone 813 684-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director HAROON ILYAS

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