10D2172511 CLIA NUMBER - OCALA EYE PA

Laboratory Demographics

  • CLIA Code: 10D2172511
  • Facility Name: OCALA EYE PA
  • Facility Address: 11352 N WILLIAMS ST STE 201A
    DUNNELLON, FL
    ZIP 34432
  • Facility Phone: 352 622-5183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER J. POLACK
  • NPI Number: 1801445762
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2172511
LAB Type Physician Office
Facility Name OCALA EYE PA
Street 11352 N WILLIAMS ST STE 201A
City DUNNELLON
State FL
ZIP 34432
Phone 352 622-5183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director PETER J. POLACK

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