21D2306038 CLIA NUMBER - ASPEN HILL OPTOMETRY LLC

Laboratory Demographics

  • CLIA Code: 21D2306038
  • Facility Name: ASPEN HILL OPTOMETRY LLC
  • Facility Address: 13505 CONNECTICUT AVENUE
    ASPEN HILL, MD
    ZIP 20906
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT A. BERTOMEU
  • NPI Number: 1629293170
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2306038
LAB Type Physician Office
Facility Name ASPEN HILL OPTOMETRY LLC
Street 13505 CONNECTICUT AVENUE
City ASPEN HILL
State MD
ZIP 20906
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 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director DR. VINCENT A. BERTOMEU

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