26D2082455 CLIA NUMBER - EYE CARE SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 26D2082455
  • Facility Name: EYE CARE SPECIALISTS LLC
  • Facility Address: 360 S MOUNT AUBURN ROAD
    CAPE GIRARDEAU, MO
    ZIP 63703
  • Facility Phone: 573 335-3577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DERRALL S. PARKER
  • NPI Number: 1316071780
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 26D2082455
LAB Type Physician Office
Facility Name EYE CARE SPECIALISTS LLC
Street 360 S MOUNT AUBURN ROAD
City CAPE GIRARDEAU
State MO
ZIP 63703
Phone 573 335-3577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director DERRALL S. PARKER

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