11D2171556 CLIA NUMBER - GEORGIA VISION INSTITUTE

Laboratory Demographics

  • CLIA Code: 11D2171556
  • Facility Name: GEORGIA VISION INSTITUTE
  • Facility Address: 300 ALABAMA AVENUE
    BREMEN, GA
    ZIP 30110
  • Facility Phone: 770 834-1008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARLAND KEITH BERRY
  • NPI Number: 1689100109
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 11D2171556
LAB Type Physician Office
Facility Name GEORGIA VISION INSTITUTE
Street 300 ALABAMA AVENUE
City BREMEN
State GA
ZIP 30110
Phone 770 834-1008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director GARLAND KEITH BERRY

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