11D0974722 CLIA NUMBER - EYESIGHTS LASER AND SURGERY CENTER

Laboratory Demographics

CLIA Number: 11D0974722

Facility Name: EYESIGHTS LASER AND SURGERY CENTER

Facility Address:
220 CORDER ROAD
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 922-5015

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1235289448

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0974722
LAB Type	Ambulatory Surgery Center
Facility Name	EYESIGHTS LASER AND SURGERY CENTER
Street	220 CORDER ROAD
City	WARNER ROBINS
State	GA
ZIP	31088
Phone	478 922-5015
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024