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21D2074338 CLIA NUMBER - ENVISION EYE & LASER CENTER

Laboratory Demographics

CLIA Number: 21D2074338

Facility Name: ENVISION EYE & LASER CENTER

Facility Address:
12200 ANNAPOLIS ROAD SUITE 116
GLENN DALE, MD
ZIP 20769
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Facility Phone Number: 301 805-4664

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1124460621

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 21D2074338
LAB Type Physician Office
Facility Name ENVISION EYE & LASER CENTER
Street 12200 ANNAPOLIS ROAD SUITE 116
City GLENN DALE
State MD
ZIP 20769
Phone 301 805-4664
CertificateType 4
CertificateEffectiveDate 7/16/2023
CertificateExpirationDate 7/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024