21D2305253 CLIA NUMBER - GERMANTOWN OPTOMETRY LLC

Laboratory Demographics

  • CLIA Code: 21D2305253
  • Facility Name: GERMANTOWN OPTOMETRY LLC
  • Facility Address: 20946 FREDERICK RD, UNIT A
    GERMANTOWN, MD
    ZIP 20876
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT A. BERTOMEU
  • NPI Number: 1114183910
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2305253
LAB Type Physician Office
Facility Name GERMANTOWN OPTOMETRY LLC
Street 20946 FREDERICK RD, UNIT A
City GERMANTOWN
State MD
ZIP 20876
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director VINCENT A. BERTOMEU

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