18D0985968 CLIA NUMBER - COMMONWEALTH EYE CLINIC, INC

Laboratory Demographics

  • CLIA Code: 18D0985968
  • Facility Name: COMMONWEALTH EYE CLINIC, INC
  • Facility Address: 2353 ALEXANDRIA DRIVE SUITE 325
    LEXINGTON, KY
    ZIP 40504
  • Facility Phone: 859 219-1188
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MS. CHARISSA BURT
  • NPI Number: 1144806373
  • Taxonomy: 332BC3200X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D0985968
LAB Type Ambulatory Surgery Center
Facility Name COMMONWEALTH EYE CLINIC, INC
Street 2353 ALEXANDRIA DRIVE SUITE 325
City LEXINGTON
State KY
ZIP 40504
Phone 859 219-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulatory Surgery Center
Lab Director MS. CHARISSA BURT

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This page was last updated on: 6/4/2025