21D2286606 CLIA NUMBER - MCCONKEY EYE CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2286606
  • Facility Name: MCCONKEY EYE CARE LLC
  • Facility Address: 4425 FITCH AVE #120
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 443 453-5444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WHITNEY E. MCCONKEY
  • NPI Number: 1902596224
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2286606
LAB Type Physician Office
Facility Name MCCONKEY EYE CARE LLC
Street 4425 FITCH AVE #120
City NOTTINGHAM
State MD
ZIP 21236
Phone 443 453-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director WHITNEY E. MCCONKEY

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