09D1098066 CLIA NUMBER - VISION SOURCE DC FOCUS EYECARE CENTER PC

Laboratory Demographics

  • CLIA Code: 09D1098066
  • Facility Name: VISION SOURCE DC FOCUS EYECARE CENTER PC
  • Facility Address: 1776 G STREET NW SUITE 104
    WASHINGTON, DC
    ZIP 20006
  • Facility Phone: 202 298-6878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA A. SHUSTOCK
  • NPI Number: 1275624330
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 09D1098066
LAB Type Physician Office
Facility Name VISION SOURCE DC FOCUS EYECARE CENTER PC
Street 1776 G STREET NW SUITE 104
City WASHINGTON
State DC
ZIP 20006
Phone 202 298-6878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director DR. PATRICIA A. SHUSTOCK

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