25D2064655 CLIA NUMBER - EYE CARE ASSOCIATES

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Laboratory Demographics

CLIA Number: 25D2064655

Facility Name: EYE CARE ASSOCIATES

Facility Address:
519 MISSISSIPPI DRIVE
WAYNESBORO, MS
ZIP 39367
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Facility Phone Number: 601 735-2878

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811125925

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	25D2064655
LAB Type	Physician Office
Facility Name	EYE CARE ASSOCIATES
Street	519 MISSISSIPPI DRIVE
City	WAYNESBORO
State	MS
ZIP	39367
Phone	601 735-2878
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024