39D2055986 CLIA NUMBER - EYECARE GREENGATE

Laboratory Demographics

  • CLIA Code: 39D2055986
  • Facility Name: EYECARE GREENGATE
  • Facility Address: 6048 ROUTE 30
    GREENSBURG, PA
    ZIP 15601
  • Facility Phone: 724 836-0802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHAD E. GREEN OD
  • NPI Number: 1902914187
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2055986
LAB Type Physician Office
Facility Name EYECARE GREENGATE
Street 6048 ROUTE 30
City GREENSBURG
State PA
ZIP 15601
Phone 724 836-0802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director DR. CHAD E. GREEN OD

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