11D2096909 CLIA NUMBER - WOOLFSON EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 11D2096909
  • Facility Name: WOOLFSON EYE INSTITUTE
  • Facility Address: 634 PEACHTREE PARKWAY, SUITE 200
    CUMMING, GA
    ZIP 30041
  • Facility Phone: (770) 506-6955
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN WOOLFSON
  • NPI Number: 1336386929
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2096909
LAB Type Physician Office
Facility Name WOOLFSON EYE INSTITUTE
Street 634 PEACHTREE PARKWAY, SUITE 200
City CUMMING
State GA
ZIP 30041
Phone 7705066955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director JONATHAN WOOLFSON

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This page was last updated on: 5/18/2026