34D2062354 CLIA NUMBER - METROLINA EYE ASSOCIATEES PLLC

Laboratory Demographics

  • CLIA Code: 34D2062354
  • Facility Name: METROLINA EYE ASSOCIATEES PLLC
  • Facility Address: 4101 CAMPUS RIDGE ROAD
    MATTHEWS, NC
    ZIP 28105
  • Facility Phone: 704 234-1930
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAC IVAN
  • NPI Number: 1013496447
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 34D2062354
LAB Type Physician Office
Facility Name METROLINA EYE ASSOCIATEES PLLC
Street 4101 CAMPUS RIDGE ROAD
City MATTHEWS
State NC
ZIP 28105
Phone 704 234-1930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director MAC IVAN

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