46D2063305 CLIA NUMBER - EXCEL EYE CENTER

Laboratory Demographics

  • CLIA Code: 46D2063305
  • Facility Name: EXCEL EYE CENTER
  • Facility Address: 1735 NORTH STATE STREET
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 374-1818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD J. DUNN
  • NPI Number: 1396831483
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2063305
LAB Type Physician Office
Facility Name EXCEL EYE CENTER
Street 1735 NORTH STATE STREET
City PROVO
State UT
ZIP 84604
Phone 801 374-1818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director RONALD J. DUNN

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