45D2044593 CLIA NUMBER - VICTORIA EYE CENTER, PA

Laboratory Demographics

  • CLIA Code: 45D2044593
  • Facility Name: VICTORIA EYE CENTER, PA
  • Facility Address: 107 JAMES COLEMAN DRIVE
    VICTORIA, TX
    ZIP 77904
  • Facility Phone: 361 578-0234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE T. BOOZALIS
  • NPI Number: 1003927799
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2044593
LAB Type Physician Office
Facility Name VICTORIA EYE CENTER, PA
Street 107 JAMES COLEMAN DRIVE
City VICTORIA
State TX
ZIP 77904
Phone 361 578-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director GEORGE T. BOOZALIS

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This page was last updated on: 3/20/2025