31D2257143 CLIA NUMBER - JACKSON EYE CARE, LLC

Laboratory Demographics

  • CLIA Code: 31D2257143
  • Facility Name: JACKSON EYE CARE, LLC
  • Facility Address: 22 OLD SHORT HILLS ROAD, SUITE 202
    LIVINGSTON, NJ
    ZIP 07039
  • Facility Phone: 862 904-8349
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KURT T. JACKSON
  • NPI Number: 1770186751
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 31D2257143
LAB Type Physician Office
Facility Name JACKSON EYE CARE, LLC
Street 22 OLD SHORT HILLS ROAD, SUITE 202
City LIVINGSTON
State NJ
ZIP 07039
Phone 862 904-8349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director KURT T. JACKSON

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