29D2321266 CLIA NUMBER - VISIONARY EYE CENTER

Laboratory Demographics

  • CLIA Code: 29D2321266
  • Facility Name: VISIONARY EYE CENTER
  • Facility Address: 8175 S VIRGINIA ST STE B900
    RENO, NV
    ZIP 89511
  • Facility Phone: 775 827-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON A. BOLENBAKER
  • NPI Number: 1457428989
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 29D2321266
LAB Type Physician Office
Facility Name VISIONARY EYE CENTER
Street 8175 S VIRGINIA ST STE B900
City RENO
State NV
ZIP 89511
Phone 775 827-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director JASON A. BOLENBAKER

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