11D2030002 CLIA NUMBER - DALTON FAMILY EYECARE

Laboratory Demographics

  • CLIA Code: 11D2030002
  • Facility Name: DALTON FAMILY EYECARE
  • Facility Address: 1105 MORNINGSIDE DRIVE
    PERRY, GA
    ZIP 31069
  • Facility Phone: 478 987-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CALVIN D. DALTON II
  • NPI Number: 1174535108
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2030002
LAB Type Physician Office
Facility Name DALTON FAMILY EYECARE
Street 1105 MORNINGSIDE DRIVE
City PERRY
State GA
ZIP 31069
Phone 478 987-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director CALVIN D. DALTON II

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