11D2098426 CLIA NUMBER - GEORGIA EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 11D2098426
  • Facility Name: GEORGIA EYE ASSOCIATES
  • Facility Address: 2368 MAIN ST, STE 2
    TUCKER, GA
    ZIP 30084
  • Facility Phone: 770 938-0020
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRIGETTE RABITSCH
  • NPI Number: 1033663190
  • Taxonomy: 152WC0802X - Optometrist

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2023
Certificate Expiration Date 7/6/2025
Facility Type Practitioner Other
Lab Director BRIGETTE RABITSCH

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This page was last updated on: 3/20/2025