19D2089697 CLIA NUMBER - PREMIER EYECARE & OPTICAL

Laboratory Demographics

  • CLIA Code: 19D2089697
  • Facility Name: PREMIER EYECARE & OPTICAL
  • Facility Address: 11281 OLD HAMMOND HIGHWAY, STE A
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 246-8830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC THAI
  • NPI Number: 1023152683
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 19D2089697
LAB Type Physician Office
Facility Name PREMIER EYECARE & OPTICAL
Street 11281 OLD HAMMOND HIGHWAY, STE A
City BATON ROUGE
State LA
ZIP 70816
Phone 225 246-8830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director ERIC THAI

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