34D2060209 CLIA NUMBER - METROLINA EYE ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 34D2060209
  • Facility Name: METROLINA EYE ASSOCIATES, PLLC
  • Facility Address: 2015 RANDOLPH ROAD, SUITE 108
    CHARLOTTE, NC
    ZIP 28207
  • Facility Phone: 704 334-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN MAC
  • NPI Number: 1023597465
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 34D2060209
LAB Type Physician Office
Facility Name METROLINA EYE ASSOCIATES, PLLC
Street 2015 RANDOLPH ROAD, SUITE 108
City CHARLOTTE
State NC
ZIP 28207
Phone 704 334-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director IVAN MAC

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