11D2143131 CLIA NUMBER - SEASIDE OPHTHALMOLOGY, INC

Laboratory Demographics

CLIA Number: 11D2143131

Facility Name: SEASIDE OPHTHALMOLOGY, INC

Facility Address:
101 DARLING AVENUE
WAYCROSS, GA
ZIP 31501
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Facility Phone Number: 912 584-0047

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427113554

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	11D2143131
LAB Type	Physician Office
Facility Name	SEASIDE OPHTHALMOLOGY, INC
Street	101 DARLING AVENUE
City	WAYCROSS
State	GA
ZIP	31501
Phone	912 584-0047
CertificateType	4
CertificateEffectiveDate	1/25/2024
CertificateExpirationDate	1/24/2026
FacilityType	Waiver

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