21D2250512 CLIA NUMBER - ENVUE EYE & LASER CENTER

Laboratory Demographics

  • CLIA Code: 21D2250512
  • Facility Name: ENVUE EYE & LASER CENTER
  • Facility Address: 120 WATERFRONT STREET, SUITE 300
    OXON HILL, MD
    ZIP 20745
  • Facility Phone: 301 485-9533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE RIVERS
  • NPI Number: 1568086304
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2250512
LAB Type Physician Office
Facility Name ENVUE EYE & LASER CENTER
Street 120 WATERFRONT STREET, SUITE 300
City OXON HILL
State MD
ZIP 20745
Phone 301 485-9533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director BRUCE RIVERS

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