10D2150863 CLIA NUMBER - LIFETIME EYECARE

Laboratory Demographics

  • CLIA Code: 10D2150863
  • Facility Name: LIFETIME EYECARE
  • Facility Address: 5455 MURELL ROAD #107
    VIERA, FL
    ZIP 32955
  • Facility Phone: 321 636-1972
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK FISHER
  • NPI Number: 1619180775
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2150863
LAB Type Physician Office
Facility Name LIFETIME EYECARE
Street 5455 MURELL ROAD #107
City VIERA
State FL
ZIP 32955
Phone 321 636-1972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director MARK FISHER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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