07D2214689 CLIA NUMBER - COASTAL EYE SURGEONS

Laboratory Demographics

  • CLIA Code: 07D2214689
  • Facility Name: COASTAL EYE SURGEONS
  • Facility Address: 600 W PUTNAM AVE, LOWER LEVEL
    GREENWICH, CT
    ZIP 06830
  • Facility Phone: (203) 900-4011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR R. SHAKIR
  • NPI Number: 1538752514
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D2214689
LAB Type Physician Office
Facility Name COASTAL EYE SURGEONS
Street 600 W PUTNAM AVE, LOWER LEVEL
City GREENWICH
State CT
ZIP 06830
Phone 2039004011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Physician Office
Lab Director OMAR R. SHAKIR

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This page was last updated on: 5/18/2026