21D2072311 CLIA NUMBER - SPECIALIZED EYE CARE

Laboratory Demographics

  • CLIA Code: 21D2072311
  • Facility Name: SPECIALIZED EYE CARE
  • Facility Address: 1 VILLAGE SQUARE SUITE 190
    BALTIMORE, MD
    ZIP 21210
  • Facility Phone: 410 435-8881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRETT LEVINSON
  • NPI Number: 1528342656
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2072311
LAB Type Physician Office
Facility Name SPECIALIZED EYE CARE
Street 1 VILLAGE SQUARE SUITE 190
City BALTIMORE
State MD
ZIP 21210
Phone 410 435-8881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director BRETT LEVINSON

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