07D2210377 CLIA NUMBER - NORWICH OPHTHALMOLOGY GROUP, PC

Laboratory Demographics

  • CLIA Code: 07D2210377
  • Facility Name: NORWICH OPHTHALMOLOGY GROUP, PC
  • Facility Address: 489 GOLDSTAR HWY
    GROTON, CT
    ZIP 06340
  • Facility Phone: 860 886-0161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANISH U. SHAH
  • NPI Number: 1326280512
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 07D2210377
LAB Type Physician Office
Facility Name NORWICH OPHTHALMOLOGY GROUP, PC
Street 489 GOLDSTAR HWY
City GROTON
State CT
ZIP 06340
Phone 860 886-0161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director ANISH U. SHAH

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