07D2286011 CLIA NUMBER - RETINA CONSULTANTS, P C

Laboratory Demographics

  • CLIA Code: 07D2286011
  • Facility Name: RETINA CONSULTANTS, P C
  • Facility Address: 191 MAIN ST, 2ND FLOOR
    MANCHESTER, CT
    ZIP 06042
  • Facility Phone: 860 646-7704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOAM D. RUDNICK
  • NPI Number: 1093748071
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 07D2286011
LAB Type Physician Office
Facility Name RETINA CONSULTANTS, P C
Street 191 MAIN ST, 2ND FLOOR
City MANCHESTER
State CT
ZIP 06042
Phone 860 646-7704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2023
Certificate Expiration Date 7/20/2025
Facility Type Physician Office
Lab Director NOAM D. RUDNICK

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This page was last updated on: 6/4/2025