49D2101463 CLIA NUMBER - GROVE AVENUE EYE CENTER

Laboratory Demographics

  • CLIA Code: 49D2101463
  • Facility Name: GROVE AVENUE EYE CENTER
  • Facility Address: 3601 GROVE AVENUE
    RICHMOND, VA
    ZIP 23221
  • Facility Phone: 804 353-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE A. KIRALY
  • NPI Number: 1801976097
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2101463
LAB Type Physician Office
Facility Name GROVE AVENUE EYE CENTER
Street 3601 GROVE AVENUE
City RICHMOND
State VA
ZIP 23221
Phone 804 353-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Physician Office
Lab Director BRUCE A. KIRALY

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