34D2066213 CLIA NUMBER - SUMMIT EYE CARE, PA

Laboratory Demographics

  • CLIA Code: 34D2066213
  • Facility Name: SUMMIT EYE CARE, PA
  • Facility Address: 3073 TRENWEST DRIVE
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 765-0960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIC KHEMSARA
  • NPI Number: 1467060327
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2066213
LAB Type Physician Office
Facility Name SUMMIT EYE CARE, PA
Street 3073 TRENWEST DRIVE
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 765-0960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director VIC KHEMSARA

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