42D2258397 CLIA NUMBER - INTEGRATED VISION ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 42D2258397
  • Facility Name: INTEGRATED VISION ASSOCIATES, LLC
  • Facility Address: 1001 MAIN STREET S
    GREENWOOD, SC
    ZIP 29646
  • Facility Phone: 864 223-1960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC R. BANG
  • NPI Number: 1962957902
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 42D2258397
LAB Type Physician Office
Facility Name INTEGRATED VISION ASSOCIATES, LLC
Street 1001 MAIN STREET S
City GREENWOOD
State SC
ZIP 29646
Phone 864 223-1960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director ERIC R. BANG

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