45D2120865 CLIA NUMBER - BELLA VISTA EYECARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2120865
  • Facility Name: BELLA VISTA EYECARE ASSOCIATES
  • Facility Address: 3510 W MAIN STREET
    LEAGUE CITY, TX
    ZIP 77573
  • Facility Phone: 281 724-3040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRACY EICKHOFF
  • NPI Number: 1982966743
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2120865
LAB Type Physician Office
Facility Name BELLA VISTA EYECARE ASSOCIATES
Street 3510 W MAIN STREET
City LEAGUE CITY
State TX
ZIP 77573
Phone 281 724-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director TRACY EICKHOFF

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