24D2099840 CLIA NUMBER - EYE CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D2099840
  • Facility Name: EYE CARE CENTER
  • Facility Address: 7884 MAIN STREET
    MAPLE GROVE, MN
    ZIP 55369
  • Facility Phone: 763 420-6981
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA MCCARTY
  • NPI Number: 1164861357
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2099840
LAB Type Physician Office
Facility Name EYE CARE CENTER
Street 7884 MAIN STREET
City MAPLE GROVE
State MN
ZIP 55369
Phone 763 420-6981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director TINA MCCARTY

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