50D2139043 CLIA NUMBER - PACIFIC EYECARE

Laboratory Demographics

CLIA Number: 50D2139043

Facility Name: PACIFIC EYECARE

Facility Address:
2029 SIMS WAY
PORT TOWNSEND, WA
ZIP 98368
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Facility Phone Number: 360 385-5386

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649269242

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	50D2139043
LAB Type	Physician Office
Facility Name	PACIFIC EYECARE
Street	2029 SIMS WAY
City	PORT TOWNSEND
State	WA
ZIP	98368
Phone	360 385-5386
CertificateType	4
CertificateEffectiveDate	10/30/2017
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024