19D2029922 CLIA NUMBER - VISION CENTER VISION ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 19D2029922
  • Facility Name: VISION CENTER VISION ASSOCIATES, INC
  • Facility Address: 911 TECH DRIVE
    RUSTON, LA
    ZIP 71270
  • Facility Phone: 318 251-9095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY AVALLONE
  • NPI Number: 1902933435
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 19D2029922
LAB Type Physician Office
Facility Name VISION CENTER VISION ASSOCIATES, INC
Street 911 TECH DRIVE
City RUSTON
State LA
ZIP 71270
Phone 318 251-9095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director GARY AVALLONE

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