18D2116904 CLIA NUMBER - EYE CARE CENTER OPTOMETRIST

Laboratory Demographics

  • CLIA Code: 18D2116904
  • Facility Name: EYE CARE CENTER OPTOMETRIST
  • Facility Address: 148 MALABU STE 150
    LEXINGTON, KY
    ZIP 40503
  • Facility Phone: 859 272-2449
  • 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 18D2116904
LAB Type Practitioner Other
Facility Name EYE CARE CENTER OPTOMETRIST
Street 148 MALABU STE 150
City LEXINGTON
State KY
ZIP 40503
Phone 859 272-2449
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: 9/29/2025