49D2300868 CLIA NUMBER - GAINESVILLE OPTOMETRY, LLC

Laboratory Demographics

  • CLIA Code: 49D2300868
  • Facility Name: GAINESVILLE OPTOMETRY, LLC
  • Facility Address: 7367 ATLAS WALK WAY
    GAINESVILLE, VA
    ZIP 20155
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHEAL DAVIDSON
  • NPI Number: 1093870099
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2300868
LAB Type Physician Office
Facility Name GAINESVILLE OPTOMETRY, LLC
Street 7367 ATLAS WALK WAY
City GAINESVILLE
State VA
ZIP 20155
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director MICHEAL DAVIDSON

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