11D2312890 CLIA NUMBER - THOMAS EYE GROUP, PC

Laboratory Demographics

  • CLIA Code: 11D2312890
  • Facility Name: THOMAS EYE GROUP, PC
  • Facility Address: 3960 SHALLOWFORD ROAD, SUITE A
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 678 781-7303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK N. BERMAN
  • NPI Number: 1669068714
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2312890
LAB Type Physician Office
Facility Name THOMAS EYE GROUP, PC
Street 3960 SHALLOWFORD ROAD, SUITE A
City MARIETTA
State GA
ZIP 30062
Phone 678 781-7303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director MARK N. BERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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