20D2104479 CLIA NUMBER - OPTOMETRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 20D2104479
  • Facility Name: OPTOMETRIC ASSOCIATES
  • Facility Address: 168 EAST AVENUE
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 784-3564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS J. HENRY OD
  • NPI Number: 1205038544
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 20D2104479
LAB Type Physician Office
Facility Name OPTOMETRIC ASSOCIATES
Street 168 EAST AVENUE
City LEWISTON
State ME
ZIP 04240
Phone 207 784-3564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director DOUGLAS J. HENRY OD

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