13D0976451 CLIA NUMBER - EAGLE EYE SURGERY AND LASER CENTER

Laboratory Demographics

  • CLIA Code: 13D0976451
  • Facility Name: EAGLE EYE SURGERY AND LASER CENTER
  • Facility Address: 3090 E GENTRY WAY #100
    MERIDIAN, ID
    ZIP 83642
  • Facility Phone: 208 288-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GREGORY KENT
  • NPI Number: 1235255605
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0976451
LAB Type Ambulatory Surgery Center
Facility Name EAGLE EYE SURGERY AND LASER CENTER
Street 3090 E GENTRY WAY #100
City MERIDIAN
State ID
ZIP 83642
Phone 208 288-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Ambulatory Surgery Center
Lab Director GREGORY KENT

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