49D2114892 CLIA NUMBER - AEG VIRGINIA PROFESSIONAL DBA PREMIER EYECARE

Laboratory Demographics

  • CLIA Code: 49D2114892
  • Facility Name: AEG VIRGINIA PROFESSIONAL DBA PREMIER EYECARE
  • Facility Address: 2101 CARL D SILVER PKWY
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 540 373-3021
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA TSAI
  • NPI Number: 1518746908
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2114892
LAB Type Physician Office
Facility Name AEG VIRGINIA PROFESSIONAL DBA PREMIER EYECARE
Street 2101 CARL D SILVER PKWY
City FREDERICKSBURG
State VA
ZIP 22401
Phone 540 373-3021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director ANGELA TSAI

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