11D1086431 CLIA NUMBER - EYE PHYSICIANS AND SURGEONS PC

Laboratory Demographics

  • CLIA Code: 11D1086431
  • Facility Name: EYE PHYSICIANS AND SURGEONS PC
  • Facility Address: 1457 SCOTT BOULEVARD
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 292-2500
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: PETER A. GORDON
  • NPI Number: 1720011422
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1086431
LAB Type Mobile Laboratory
Facility Name EYE PHYSICIANS AND SURGEONS PC
Street 1457 SCOTT BOULEVARD
City DECATUR
State GA
ZIP 30030
Phone 404 292-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Mobile Laboratory
Lab Director PETER A. GORDON

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