49D2042314 CLIA NUMBER - PLATINUM EYE CARE, LLC (DBA) MODERN EYES OPTOMETRY

Laboratory Demographics

  • CLIA Code: 49D2042314
  • Facility Name: PLATINUM EYE CARE, LLC (DBA) MODERN EYES OPTOMETRY
  • Facility Address: 1975 GLENN MITCHELL DRIVE - SUITE 104
    VIRGINIA BEACH, VA
    ZIP 23456
  • Facility Phone: 757 368-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAHIM A. KANJI OD
  • NPI Number: 1790837854
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2042314
LAB Type Physician Office
Facility Name PLATINUM EYE CARE, LLC (DBA) MODERN EYES OPTOMETRY
Street 1975 GLENN MITCHELL DRIVE - SUITE 104
City VIRGINIA BEACH
State VA
ZIP 23456
Phone 757 368-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director RAHIM A. KANJI OD

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