11D2139912 CLIA NUMBER - BRAUN EYECARE

Laboratory Demographics

  • CLIA Code: 11D2139912
  • Facility Name: BRAUN EYECARE
  • Facility Address: 1008 RIVERBURCH PARKWAY
    DALTON, GA
    ZIP 30721
  • Facility Phone: 706 278-0518
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. DAVIS
  • NPI Number: 1639213093
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2139912
LAB Type Physician Office
Facility Name BRAUN EYECARE
Street 1008 RIVERBURCH PARKWAY
City DALTON
State GA
ZIP 30721
Phone 706 278-0518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director NICHOLAS J. DAVIS

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