26D0901260 CLIA NUMBER - KIMBERLING VISION CENTER INC

Laboratory Demographics

  • CLIA Code: 26D0901260
  • Facility Name: KIMBERLING VISION CENTER INC
  • Facility Address: 1 WOODLAND AVENUE, SUITE 2
    KIMBERLING CITY, MO
    ZIP 65686
  • Facility Phone: 417 739-2411
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBRA WILLIAMS
  • NPI Number: 1417001009
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D0901260
LAB Type Practitioner Other
Facility Name KIMBERLING VISION CENTER INC
Street 1 WOODLAND AVENUE, SUITE 2
City KIMBERLING CITY
State MO
ZIP 65686
Phone 417 739-2411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Practitioner Other
Lab Director DEBRA WILLIAMS

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