19D2076291 CLIA NUMBER - THOMAS VISION CLINIC

Laboratory Demographics

  • CLIA Code: 19D2076291
  • Facility Name: THOMAS VISION CLINIC
  • Facility Address: 1100 NORTH 5TH STREET
    LEESVILLE, LA
    ZIP 71446
  • Facility Phone: 337 239-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFTON COWAN
  • NPI Number: 1366611105
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 19D2076291
LAB Type Physician Office
Facility Name THOMAS VISION CLINIC
Street 1100 NORTH 5TH STREET
City LEESVILLE
State LA
ZIP 71446
Phone 337 239-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director CLIFTON COWAN

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