10D2305351 CLIA NUMBER - OCALA EYE PA

Laboratory Demographics

  • CLIA Code: 10D2305351
  • Facility Name: OCALA EYE PA
  • Facility Address: 4508 WARM SPRINGS AVE
    WILDWOOD, FL
    ZIP 34785
  • Facility Phone: (352) 622-5183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER J. POLACK
  • NPI Number: 1194470369
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2305351
LAB Type Physician Office
Facility Name OCALA EYE PA
Street 4508 WARM SPRINGS AVE
City WILDWOOD
State FL
ZIP 34785
Phone 3526225183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2026
Certificate Expiration Date 5/29/2028
Facility Type Physician Office
Lab Director PETER J. POLACK

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This page was last updated on: 5/18/2026