11D2062757 CLIA NUMBER - WINDER EYE CARE CENTER

Laboratory Demographics

  • CLIA Code: 11D2062757
  • Facility Name: WINDER EYE CARE CENTER
  • Facility Address: 279 NORTH BROAD STREET, SUITE C
    WINDER, GA
    ZIP 30680
  • Facility Phone: 770 867-2505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARRELL A. SORAH JR
  • NPI Number: 1154349041
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2062757
LAB Type Physician Office
Facility Name WINDER EYE CARE CENTER
Street 279 NORTH BROAD STREET, SUITE C
City WINDER
State GA
ZIP 30680
Phone 770 867-2505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director DARRELL A. SORAH JR

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