49D2300871 CLIA NUMBER - MILLER EYECARE RESTON, LLC

Laboratory Demographics

  • CLIA Code: 49D2300871
  • Facility Name: MILLER EYECARE RESTON, LLC
  • Facility Address: 1841 FOUNTAIN DR
    RESTON, VA
    ZIP 20190
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHEAL DAVIDSON
  • NPI Number: 1366507303
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2300871
LAB Type Physician Office
Facility Name MILLER EYECARE RESTON, LLC
Street 1841 FOUNTAIN DR
City RESTON
State VA
ZIP 20190
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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