51D2166599 CLIA NUMBER - RAVENSWOOD EYECARE

Laboratory Demographics

  • CLIA Code: 51D2166599
  • Facility Name: RAVENSWOOD EYECARE
  • Facility Address: 706 WASHINGTON ST
    RAVENSWOOD, WV
    ZIP 26164
  • Facility Phone: 304 273-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BEN MIZE
  • NPI Number: 1881643583
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 51D2166599
LAB Type Physician Office
Facility Name RAVENSWOOD EYECARE
Street 706 WASHINGTON ST
City RAVENSWOOD
State WV
ZIP 26164
Phone 304 273-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director DR. BEN MIZE

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