21D2229519 CLIA NUMBER - DUNKIRK VISION

Laboratory Demographics

  • CLIA Code: 21D2229519
  • Facility Name: DUNKIRK VISION
  • Facility Address: 10335 SOUTHERN MARYLAND BLVD SUITE 102
    DUNKIRK, MD
    ZIP 20754
  • Facility Phone: 443 964-6730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSE SUSEL
  • NPI Number: 1770917783
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2229519
LAB Type Physician Office
Facility Name DUNKIRK VISION
Street 10335 SOUTHERN MARYLAND BLVD SUITE 102
City DUNKIRK
State MD
ZIP 20754
Phone 443 964-6730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director ROSE SUSEL

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