13D2067459 CLIA NUMBER - TREASURE VALLEY EYECARE

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Laboratory Demographics

CLIA Number: 13D2067459

Facility Name: TREASURE VALLEY EYECARE

Facility Address:
1702 S KIMBALL AVE
CALDWELL, ID
ZIP 83605
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Facility Phone Number: (208) 459-2641

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1972819365

Taxonomy: 152WC0802X - Optometrist
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

CLIA Record

Field Name	Field Value
CLIA Number	13D2067459
LAB Type	OTHER PRACTITIONER
Facility Name	TREASURE VALLEY EYECARE
Street	1702 S KIMBALL AVE
City	CALDWELL
State	ID
ZIP	83605
Phone	(208) 459-2641

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This page was last updated on: 5/11/2023