49D2300869 CLIA NUMBER - MANASSAS OPTOMETRY, LLC

Laboratory Demographics

  • CLIA Code: 49D2300869
  • Facility Name: MANASSAS OPTOMETRY, LLC
  • Facility Address: 9675 LIBERIA AVE, SUITE 108
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHEAL DAVIDSON
  • NPI Number: 1245560655
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2300869
LAB Type Physician Office
Facility Name MANASSAS OPTOMETRY, LLC
Street 9675 LIBERIA AVE, SUITE 108
City MANASSAS
State VA
ZIP 20110
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