18D2116901 CLIA NUMBER - EYE CARE CENTER OPTOMETRIST, PSC

Laboratory Demographics

  • CLIA Code: 18D2116901
  • Facility Name: EYE CARE CENTER OPTOMETRIST, PSC
  • Facility Address: 1020 GIBSON BAY DRIVE ATTENTION DWIGHT BURCHETT
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: (859) 623-3358
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DWIGHT BURCHETT
  • NPI Number: 1346436888
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 18D2116901
LAB Type Practitioner Other
Facility Name EYE CARE CENTER OPTOMETRIST, PSC
Street 1020 GIBSON BAY DRIVE ATTENTION DWIGHT BURCHETT
City RICHMOND
State KY
ZIP 40475
Phone 8596233358
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 Practitioner Other
Lab Director DWIGHT BURCHETT

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This page was last updated on: 5/18/2026