11D2177428 CLIA NUMBER - THOMAS EYE CENTER

Laboratory Demographics

  • CLIA Code: 11D2177428
  • Facility Name: THOMAS EYE CENTER
  • Facility Address: 1077 BAXTER STREET SUITE 100
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 549-7757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAJENE MURUGATHASAN
  • NPI Number: 1700096021
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2177428
LAB Type Physician Office
Facility Name THOMAS EYE CENTER
Street 1077 BAXTER STREET SUITE 100
City ATHENS
State GA
ZIP 30606
Phone 706 549-7757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director KAJENE MURUGATHASAN

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