07D2074972 CLIA NUMBER - EYE CARE NORTHEAST PC

Laboratory Demographics

  • CLIA Code: 07D2074972
  • Facility Name: EYE CARE NORTHEAST PC
  • Facility Address: 5 KENNEDY DR
    PUTNAM, CT
    ZIP 06260
  • Facility Phone: 860 928-0414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES C. DEAN
  • NPI Number: 1487740411
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 07D2074972
LAB Type Physician Office
Facility Name EYE CARE NORTHEAST PC
Street 5 KENNEDY DR
City PUTNAM
State CT
ZIP 06260
Phone 860 928-0414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director JAMES C. DEAN

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