44D2093104 CLIA NUMBER - VRF EYE SPECIALTY GROUP PLC

Laboratory Demographics

  • CLIA Code: 44D2093104
  • Facility Name: VRF EYE SPECIALTY GROUP PLC
  • Facility Address: 1458 W POPLAR
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 685-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUBBA GOLLAMUDI
  • NPI Number: 1417570029
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 44D2093104
LAB Type Physician Office
Facility Name VRF EYE SPECIALTY GROUP PLC
Street 1458 W POPLAR
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 685-2200
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 SUBBA GOLLAMUDI

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