07D1076210 CLIA NUMBER - KILLINGLY EYE CARE PC

Laboratory Demographics

  • CLIA Code: 07D1076210
  • Facility Name: KILLINGLY EYE CARE PC
  • Facility Address: 25 GREEN HOLLOW RD
    DANIELSON, CT
    ZIP 06239
  • Facility Phone: 860 779-1588
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMES L. BOCCUZZI, OD
  • NPI Number: 1255439188
  • Taxonomy: 152WC0802X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 07D1076210
LAB Type Practitioner Other
Facility Name KILLINGLY EYE CARE PC
Street 25 GREEN HOLLOW RD
City DANIELSON
State CT
ZIP 06239
Phone 860 779-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Practitioner Other
Lab Director JAMES L. BOCCUZZI, OD

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