49D2277258 CLIA NUMBER - BROOK RUN VISION CENTER

Laboratory Demographics

  • CLIA Code: 49D2277258
  • Facility Name: BROOK RUN VISION CENTER
  • Facility Address: 9335 CHAMBELAYNE RD ATTN DR D GRAY
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 264-2956
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL GRAY
  • NPI Number: 1235344045
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2277258
LAB Type Physician Office
Facility Name BROOK RUN VISION CENTER
Street 9335 CHAMBELAYNE RD ATTN DR D GRAY
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 264-2956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director DR. DANIEL GRAY

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This page was last updated on: 6/4/2025