50D2022229 CLIA NUMBER - LONGVIEW EYE AND VISION

Laboratory Demographics

  • CLIA Code: 50D2022229
  • Facility Name: LONGVIEW EYE AND VISION
  • Facility Address: 820 OCEAN BEACH HWY STE 100
    LONGVIEW, WA
    ZIP 98632
  • Facility Phone: (360) 636-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. TACK
  • NPI Number: 1861535197
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2022229
LAB Type Physician Office
Facility Name LONGVIEW EYE AND VISION
Street 820 OCEAN BEACH HWY STE 100
City LONGVIEW
State WA
ZIP 98632
Phone 3606362020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2012
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JEFFREY S. TACK

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This page was last updated on: 5/18/2026