I would imagine the reason they went with a two-line tab is because, with a one line tab, it is too easy to get into a situation where the tab is wider than the main panel is. (LEFT EXIT 149A ... Jones)
I'm not sure about that. If it were an issue of the exit tab
potentially being too wide, they should allow for the "LEFT" legend to be placed either next to or above, not always next to.
And if size was really an issue, why not experiment with alternative design options? Such as (a) exit tabs with black-on-yellow text to symbolize a left exit, or even (b) replacing the words with a symbol pointing left or right?
I'm pretty sure I read that the FHWA specifically wanted the "LEFT" legend to be stacked for improved recognition of the condition. Still, I'm insanely skeptical it makes any difference.