21D2059183 CLIA NUMBER - EASTON OPTICAL

Laboratory Demographics

  • CLIA Code: 21D2059183
  • Facility Name: EASTON OPTICAL
  • Facility Address: 210 MARLBORO AVENUE STE 31
    EASTON, MD
    ZIP 21601
  • Facility Phone: 410 822-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN BISHOP
  • NPI Number: 1780803643
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 21D2059183
LAB Type Physician Office
Facility Name EASTON OPTICAL
Street 210 MARLBORO AVENUE STE 31
City EASTON
State MD
ZIP 21601
Phone 410 822-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director ALAN BISHOP

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