35D2091327 CLIA NUMBER - LVCTR, PC DBA LIFETIME VISION CENTER

Laboratory Demographics

  • CLIA Code: 35D2091327
  • Facility Name: LVCTR, PC DBA LIFETIME VISION CENTER
  • Facility Address: 2900 S COLUMBIA ROAD
    GRAND FORKS, ND
    ZIP 58201
  • Facility Phone: 701 746-6745
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY B. YUNKER
  • NPI Number: 1720385263
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 35D2091327
LAB Type Physician Office
Facility Name LVCTR, PC DBA LIFETIME VISION CENTER
Street 2900 S COLUMBIA ROAD
City GRAND FORKS
State ND
ZIP 58201
Phone 701 746-6745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director JEFFREY B. YUNKER

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