35D2292687 CLIA NUMBER - VIVID VISION CARE

Laboratory Demographics

  • CLIA Code: 35D2292687
  • Facility Name: VIVID VISION CARE
  • Facility Address: 3265 45TH ST S STE 104
    FARGO, ND
    ZIP 58104
  • Facility Phone: 701 212-1553
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN L. BARRETT
  • NPI Number: 1003393828
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 35D2292687
LAB Type Physician Office
Facility Name VIVID VISION CARE
Street 3265 45TH ST S STE 104
City FARGO
State ND
ZIP 58104
Phone 701 212-1553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director ERIN L. BARRETT

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