11D2143131 CLIA NUMBER - SEASIDE OPHTHALMOLOGY, INC

Laboratory Demographics

  • CLIA Code: 11D2143131
  • Facility Name: SEASIDE OPHTHALMOLOGY, INC
  • Facility Address: 101 DARLING AVENUE
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 912 584-0047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BONNIE J. BROOKS
  • NPI Number: 1427113554
  • Taxonomy: 207W00000X - Ophthalmology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director BONNIE J. BROOKS

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