21D2103674 CLIA NUMBER - QUEEN CITY OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 21D2103674
  • Facility Name: QUEEN CITY OPHTHALMOLOGY
  • Facility Address: 625 KENT AVENUE, SUITE 201
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 301 722-2050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDYE C. VANBRAKLE
  • NPI Number: 1851580807
  • Taxonomy: 207W00000X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2103674
LAB Type Physician Office
Facility Name QUEEN CITY OPHTHALMOLOGY
Street 625 KENT AVENUE, SUITE 201
City CUMBERLAND
State MD
ZIP 21502
Phone 301 722-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director WENDYE C. VANBRAKLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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