11D2146581 CLIA NUMBER - ACWORTH FAMILY EYECARE

Laboratory Demographics

  • CLIA Code: 11D2146581
  • Facility Name: ACWORTH FAMILY EYECARE
  • Facility Address: 4900 IVEY ROAD, SUITE 1226
    ACWORTH, GA
    ZIP 30101
  • Facility Phone: 770 974-3153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY REACH
  • NPI Number: 1205140126
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2146581
LAB Type Physician Office
Facility Name ACWORTH FAMILY EYECARE
Street 4900 IVEY ROAD, SUITE 1226
City ACWORTH
State GA
ZIP 30101
Phone 770 974-3153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director ANTHONY REACH

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