07D2059287 CLIA NUMBER - NORWICH OPHTHALMOLOGY GROUP, PC

Laboratory Demographics

  • CLIA Code: 07D2059287
  • Facility Name: NORWICH OPHTHALMOLOGY GROUP, PC
  • Facility Address: 79 WAWECUS ST, SUITE 105
    NORWICH, CT
    ZIP 06360
  • Facility Phone: (860) 889-2630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANISH U. SHAH
  • NPI Number: 1427081199
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 07D2059287
LAB Type Physician Office
Facility Name NORWICH OPHTHALMOLOGY GROUP, PC
Street 79 WAWECUS ST, SUITE 105
City NORWICH
State CT
ZIP 06360
Phone 8608892630
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 ANISH U. SHAH

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This page was last updated on: 6/29/2026