39D2112845 CLIA NUMBER - ADVANCED EYECARE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 39D2112845
  • Facility Name: ADVANCED EYECARE SPECIALISTS
  • Facility Address: 2055 ROUTE 611
    SWIFTWATER, PA
    ZIP 18370
  • Facility Phone: 570 839-2221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN M. WILSON
  • NPI Number: 1568644466
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2112845
LAB Type Physician Office
Facility Name ADVANCED EYECARE SPECIALISTS
Street 2055 ROUTE 611
City SWIFTWATER
State PA
ZIP 18370
Phone 570 839-2221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director DR. STEVEN M. WILSON

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