26D2051629 CLIA NUMBER - IVERSON TOMASINO EYECARE

Laboratory Demographics

  • CLIA Code: 26D2051629
  • Facility Name: IVERSON TOMASINO EYECARE
  • Facility Address: 1140 TOM GINNEVER AVENUE
    O FALLON, MO
    ZIP 63366
  • Facility Phone: 636 272-1444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT TOMASINO
  • NPI Number: 1548386758
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2051629
LAB Type Physician Office
Facility Name IVERSON TOMASINO EYECARE
Street 1140 TOM GINNEVER AVENUE
City O FALLON
State MO
ZIP 63366
Phone 636 272-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director SCOTT TOMASINO

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