36D2143524 CLIA NUMBER - ATHENS EYE CARE LLC

Laboratory Demographics

  • CLIA Code: 36D2143524
  • Facility Name: ATHENS EYE CARE LLC
  • Facility Address: 14 UNIVERSITY ESTATES BLVD SUITE 100
    ATHENS, OH
    ZIP 45701
  • Facility Phone: 740 594-2271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANE FOSTER OD
  • NPI Number: 1023068228
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2143524
LAB Type Physician Office
Facility Name ATHENS EYE CARE LLC
Street 14 UNIVERSITY ESTATES BLVD SUITE 100
City ATHENS
State OH
ZIP 45701
Phone 740 594-2271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director SHANE FOSTER OD

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