21D2114013 CLIA NUMBER - WINK EYECARE BOUTIQUE

Laboratory Demographics

  • CLIA Code: 21D2114013
  • Facility Name: WINK EYECARE BOUTIQUE
  • Facility Address: 1095 SEVEN LOCKS RD
    POTOMAC, MD
    ZIP 20854
  • Facility Phone: (301) 545-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL B. COHN
  • NPI Number: 1952080145
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2114013
LAB Type Physician Office
Facility Name WINK EYECARE BOUTIQUE
Street 1095 SEVEN LOCKS RD
City POTOMAC
State MD
ZIP 20854
Phone 3015451111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2026
Certificate Expiration Date 6/5/2028
Facility Type Physician Office
Lab Director RACHEL B. COHN

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This page was last updated on: 5/18/2026