49D2050069 CLIA NUMBER - ENVISION EYE CARE

Laboratory Demographics

  • CLIA Code: 49D2050069
  • Facility Name: ENVISION EYE CARE
  • Facility Address: 2308 CEDAR VALLEY DR
    CEDAR BLUFF, VA
    ZIP 24609
  • Facility Phone: 276 964-4171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN KEENE
  • NPI Number: 1427155472
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2050069
LAB Type Physician Office
Facility Name ENVISION EYE CARE
Street 2308 CEDAR VALLEY DR
City CEDAR BLUFF
State VA
ZIP 24609
Phone 276 964-4171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director SUSAN KEENE

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