24D2106993 CLIA NUMBER - EYE CARE CENTER

Laboratory Demographics

  • CLIA Code: 24D2106993
  • Facility Name: EYE CARE CENTER
  • Facility Address: 1202 EAST MOORE LAKE DRIVE
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: 763 574-0075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA M. MCCARTY
  • NPI Number: 1548356595
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2106993
LAB Type Physician Office
Facility Name EYE CARE CENTER
Street 1202 EAST MOORE LAKE DRIVE
City FRIDLEY
State MN
ZIP 55432
Phone 763 574-0075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director TINA M. MCCARTY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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