11D2098426 CLIA NUMBER - GEORGIA EYE ASSOCIATES

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Laboratory Demographics

CLIA Number: 11D2098426

Facility Name: GEORGIA EYE ASSOCIATES

Facility Address:
2368 MAIN ST, STE 2
TUCKER, GA
ZIP 30084
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Facility Phone Number: 770 938-0020

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1033663190

Taxonomy: 152WC0802X - Optometrist
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

CLIA Record

Field Name	Field Value
CLIA Number	11D2098426
LAB Type	Practitioner Other
Facility Name	GEORGIA EYE ASSOCIATES
Street	2368 MAIN ST, STE 2
City	TUCKER
State	GA
ZIP	30084
Phone	770 938-0020
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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