26D2169771 CLIA NUMBER - ADVANCED EYECARE, PC

Laboratory Demographics

  • CLIA Code: 26D2169771
  • Facility Name: ADVANCED EYECARE, PC
  • Facility Address: 6708 RAYTOWN ROAD
    RAYTOWN, MO
    ZIP 64133
  • Facility Phone: 816 353-1872
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RICHARD C. WILSON
  • NPI Number: 1528006426
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2169771
LAB Type Practitioner Other
Facility Name ADVANCED EYECARE, PC
Street 6708 RAYTOWN ROAD
City RAYTOWN
State MO
ZIP 64133
Phone 816 353-1872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Practitioner Other
Lab Director RICHARD C. WILSON

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This page was last updated on: 6/4/2025