50D2315107 CLIA NUMBER - LEAVENWORTH VISION SOURCE

Laboratory Demographics

  • CLIA Code: 50D2315107
  • Facility Name: LEAVENWORTH VISION SOURCE
  • Facility Address: 1133 US HIGHWAY 2 STE G
    LEAVENWORTH, WA
    ZIP 98826
  • Facility Phone: 509 548-7379
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON BARNES
  • NPI Number: 1538219787
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2315107
LAB Type Physician Office
Facility Name LEAVENWORTH VISION SOURCE
Street 1133 US HIGHWAY 2 STE G
City LEAVENWORTH
State WA
ZIP 98826
Phone 509 548-7379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JASON BARNES

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