11D2180388 CLIA NUMBER - MOUNTAIN EYE CLINIC

Laboratory Demographics

  • CLIA Code: 11D2180388
  • Facility Name: MOUNTAIN EYE CLINIC
  • Facility Address: 431 NORTH GROVE STREET SUITE C
    DAHLONEGA, GA
    ZIP 30533
  • Facility Phone: (706) 864-8635
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD G. JABALEY
  • NPI Number: 1073772828
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2180388
LAB Type Physician Office
Facility Name MOUNTAIN EYE CLINIC
Street 431 NORTH GROVE STREET SUITE C
City DAHLONEGA
State GA
ZIP 30533
Phone 7068648635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2026
Certificate Expiration Date 3/11/2028
Facility Type Physician Office
Lab Director RICHARD G. JABALEY

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This page was last updated on: 5/18/2026