11D2107409 CLIA NUMBER - VANI VISION

Laboratory Demographics

  • CLIA Code: 11D2107409
  • Facility Name: VANI VISION
  • Facility Address: 2900 CUMBERLAND MALL SE
    ATLANTA, GA
    ZIP 30339
  • Facility Phone: 770 431-1713
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. NIKIL PATEL
  • NPI Number: 1295968337
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2107409
LAB Type Practitioner Other
Facility Name VANI VISION
Street 2900 CUMBERLAND MALL SE
City ATLANTA
State GA
ZIP 30339
Phone 770 431-1713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Practitioner Other
Lab Director DR. NIKIL PATEL

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