11D2320657 CLIA NUMBER - ELEVATED EYECARE

Laboratory Demographics

  • CLIA Code: 11D2320657
  • Facility Name: ELEVATED EYECARE
  • Facility Address: 1716 CANDLER ROAD, SUITE B
    DECATUR, GA
    ZIP 30032
  • Facility Phone: 770 914-3399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANTRELL HART-MORELAND
  • NPI Number: 1730332370
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 11D2320657
LAB Type Physician Office
Facility Name ELEVATED EYECARE
Street 1716 CANDLER ROAD, SUITE B
City DECATUR
State GA
ZIP 30032
Phone 770 914-3399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director DR. SANTRELL HART-MORELAND

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