45D2138011 CLIA NUMBER - JACKSON AND LIYAN EYECARE

Laboratory Demographics

  • CLIA Code: 45D2138011
  • Facility Name: JACKSON AND LIYAN EYECARE
  • Facility Address: 4400 FREDERICKSBURG RD #107
    SAN ANTONIO, TX
    ZIP 78201
  • Facility Phone: 210 737-1926
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH SHEPPARD
  • NPI Number: 1912230780
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2138011
LAB Type Practitioner Other
Facility Name JACKSON AND LIYAN EYECARE
Street 4400 FREDERICKSBURG RD #107
City SAN ANTONIO
State TX
ZIP 78201
Phone 210 737-1926
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Practitioner Other
Lab Director DEBORAH SHEPPARD

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