34D2175892 CLIA NUMBER - BOONE TRAIL OPTOMETRIC EYE CARE

Laboratory Demographics

  • CLIA Code: 34D2175892
  • Facility Name: BOONE TRAIL OPTOMETRIC EYE CARE
  • Facility Address: 48 BOONE TRAIL
    NORTH WILKESBORO, NC
    ZIP 28659
  • Facility Phone: 336 667-3288
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SANDRA L. SWARINGEN
  • NPI Number: 1083850606
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 34D2175892
LAB Type Practitioner Other
Facility Name BOONE TRAIL OPTOMETRIC EYE CARE
Street 48 BOONE TRAIL
City NORTH WILKESBORO
State NC
ZIP 28659
Phone 336 667-3288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Practitioner Other
Lab Director SANDRA L. SWARINGEN

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