45D2214395 CLIA NUMBER - KING VISION LLC

Laboratory Demographics

  • CLIA Code: 45D2214395
  • Facility Name: KING VISION LLC
  • Facility Address: 4810 NORTH STREET
    NACOGDOCHES, TX
    ZIP 75965
  • Facility Phone: 954 261-1026
  • Facility Type: Other - OPTOMETRIST
  • Facility Type: Waiver
  • Lab Director: JACQUELINE L. PIERRE
  • NPI Number: 1780243097
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 45D2214395
LAB Type Other - OPTOMETRIST
Facility Name KING VISION LLC
Street 4810 NORTH STREET
City NACOGDOCHES
State TX
ZIP 75965
Phone 954 261-1026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Other - OPTOMETRIST
Lab Director JACQUELINE L. PIERRE

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