11D0971890 CLIA NUMBER - REGIONAL EYE CENTER

Laboratory Demographics

  • CLIA Code: 11D0971890
  • Facility Name: REGIONAL EYE CENTER
  • Facility Address: 1119 EAST LAMAR ST
    AMERICUS, GA
    ZIP 31709
  • Facility Phone: 912 924-4022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH N. MOATES
  • NPI Number: 1033755319
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0971890
LAB Type Physician Office
Facility Name REGIONAL EYE CENTER
Street 1119 EAST LAMAR ST
City AMERICUS
State GA
ZIP 31709
Phone 912 924-4022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director KENNETH N. MOATES

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