38D2107129 CLIA NUMBER - MEDICAL EYE CENTER

Laboratory Demographics

CLIA Number: 38D2107129

Facility Name: MEDICAL EYE CENTER

Facility Address:
1333 E BARNETT RD ATTN RACHEL CUELLAR
MEDFORD, OR
ZIP 97504
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Facility Phone Number: 541 779-4711

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366510034

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	38D2107129
LAB Type	Physician Office
Facility Name	MEDICAL EYE CENTER
Street	1333 E BARNETT RD ATTN RACHEL CUELLAR
City	MEDFORD
State	OR
ZIP	97504
Phone	541 779-4711
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024