07D2146037 CLIA NUMBER - PROFESSIONAL EYECARE

Laboratory Demographics

  • CLIA Code: 07D2146037
  • Facility Name: PROFESSIONAL EYECARE
  • Facility Address: 131 BOSTON ROAD
    WATERFORD, CT
    ZIP 06385
  • Facility Phone: 860 442-5058
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY BEAULIEU OD
  • NPI Number: 1538396080
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 07D2146037
LAB Type Physician Office
Facility Name PROFESSIONAL EYECARE
Street 131 BOSTON ROAD
City WATERFORD
State CT
ZIP 06385
Phone 860 442-5058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director MARY BEAULIEU OD

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