49D2168054 CLIA NUMBER - VIRGINIA EYECARE CENTER

Laboratory Demographics

  • CLIA Code: 49D2168054
  • Facility Name: VIRGINIA EYECARE CENTER
  • Facility Address: 9314A OLD KEENE MILL RD
    BURKE, VA
    ZIP 22015
  • Facility Phone: 703 569-3131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY SHAY
  • NPI Number: 1700987237
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2168054
LAB Type Physician Office
Facility Name VIRGINIA EYECARE CENTER
Street 9314A OLD KEENE MILL RD
City BURKE
State VA
ZIP 22015
Phone 703 569-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director COURTNEY SHAY

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