49D2313369 CLIA NUMBER - VIENNA OPTOMETRY, LLC

Laboratory Demographics

  • CLIA Code: 49D2313369
  • Facility Name: VIENNA OPTOMETRY, LLC
  • Facility Address: 401 MAPLE AVE W
    VIENNA, VA
    ZIP 22180
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL DAVIDSON
  • NPI Number: 1548325558
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2313369
LAB Type Physician Office
Facility Name VIENNA OPTOMETRY, LLC
Street 401 MAPLE AVE W
City VIENNA
State VA
ZIP 22180
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 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director MICHAEL DAVIDSON

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