44D2115638 CLIA NUMBER - EYECARE EAST, PLLC

Laboratory Demographics

  • CLIA Code: 44D2115638
  • Facility Name: EYECARE EAST, PLLC
  • Facility Address: 9031 VALLEY CREST LANE
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 757-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL D. MORMON
  • NPI Number: 1700131752
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 44D2115638
LAB Type Physician Office
Facility Name EYECARE EAST, PLLC
Street 9031 VALLEY CREST LANE
City GERMANTOWN
State TN
ZIP 38138
Phone 901 757-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director DR. PAUL D. MORMON

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