49D2300872 CLIA NUMBER - WINCHESTER OPTOMETRY, PLLC

Laboratory Demographics

  • CLIA Code: 49D2300872
  • Facility Name: WINCHESTER OPTOMETRY, PLLC
  • Facility Address: 3051 VALLEY AVE, SUITE 102
    WINCHESTER, VA
    ZIP 22601
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHEAL DAVIDSON
  • NPI Number: 1649417387
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2300872
LAB Type Physician Office
Facility Name WINCHESTER OPTOMETRY, PLLC
Street 3051 VALLEY AVE, SUITE 102
City WINCHESTER
State VA
ZIP 22601
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