07D2213758 CLIA NUMBER - MIDDLESEX EYE PHYSICIANS, PC

Laboratory Demographics

  • CLIA Code: 07D2213758
  • Facility Name: MIDDLESEX EYE PHYSICIANS, PC
  • Facility Address: 48 MAIN ST, STE 2
    OLD SAYBROOK, CT
    ZIP 06475
  • Facility Phone: 860 347-7466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KRISTY G. MASCARENHAS
  • NPI Number: 1043377211
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 07D2213758
LAB Type Physician Office
Facility Name MIDDLESEX EYE PHYSICIANS, PC
Street 48 MAIN ST, STE 2
City OLD SAYBROOK
State CT
ZIP 06475
Phone 860 347-7466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director DR. KRISTY G. MASCARENHAS

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