48D2087091 CLIA NUMBER - EYE CLINIC, LLC, THE

Laboratory Demographics

  • CLIA Code: 48D2087091
  • Facility Name: EYE CLINIC, LLC, THE
  • Facility Address: 9151 FOOTHILLS PROF BLD #107
    ST THOMAS, VI
    ZIP 00802
  • Facility Phone: 340 774-1531
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIDANE H. ASSEFA
  • NPI Number: 1316186737
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 48D2087091
LAB Type Ambulatory Surgery Center
Facility Name EYE CLINIC, LLC, THE
Street 9151 FOOTHILLS PROF BLD #107
City ST THOMAS
State VI
ZIP 00802
Phone 340 774-1531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Ambulatory Surgery Center
Lab Director KIDANE H. ASSEFA

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