49D2179623 CLIA NUMBER - ENOCHS EYE CARE, PLLC

Laboratory Demographics

  • CLIA Code: 49D2179623
  • Facility Name: ENOCHS EYE CARE, PLLC
  • Facility Address: 3575 BRIDGE ROAD SUITE 19
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 638-2015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. ENOCHS
  • NPI Number: 1053458000
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2179623
LAB Type Physician Office
Facility Name ENOCHS EYE CARE, PLLC
Street 3575 BRIDGE ROAD SUITE 19
City SUFFOLK
State VA
ZIP 23435
Phone 757 638-2015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director STEPHEN M. ENOCHS

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