07D2125427 CLIA NUMBER - MYEYEDR OPTOMERTY OF CONNECTICUT, LLC

Laboratory Demographics

  • CLIA Code: 07D2125427
  • Facility Name: MYEYEDR OPTOMERTY OF CONNECTICUT, LLC
  • Facility Address: 775 MAIN STREET SOUTH
    SOUTHBURY, CT
    ZIP 06488
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTIS BEATTY OD
  • NPI Number: 1376608380
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 07D2125427
LAB Type Physician Office
Facility Name MYEYEDR OPTOMERTY OF CONNECTICUT, LLC
Street 775 MAIN STREET SOUTH
City SOUTHBURY
State CT
ZIP 06488
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director ARTIS BEATTY OD

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