11D2177431 CLIA NUMBER - POPHAM EYECARE LLC

Laboratory Demographics

  • CLIA Code: 11D2177431
  • Facility Name: POPHAM EYECARE LLC
  • Facility Address: 206 MAIN STREET
    CEDARTOWN, GA
    ZIP 30125
  • Facility Phone: 770 748-2443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN POPHAM
  • NPI Number: 1790258374
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2177431
LAB Type Physician Office
Facility Name POPHAM EYECARE LLC
Street 206 MAIN STREET
City CEDARTOWN
State GA
ZIP 30125
Phone 770 748-2443
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 JOHN POPHAM

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