21D2041843 CLIA NUMBER - VISIONARY OPTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 21D2041843
  • Facility Name: VISIONARY OPTHALMOLOGY
  • Facility Address: 11300 ROCKVILLE PIKE #1202
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 301 896-0890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. J ALBERTO MARTINEZ
  • NPI Number: 1952595084
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2041843
LAB Type Physician Office
Facility Name VISIONARY OPTHALMOLOGY
Street 11300 ROCKVILLE PIKE #1202
City ROCKVILLE
State MD
ZIP 20852
Phone 301 896-0890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director DR. J ALBERTO MARTINEZ

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