21D2306040 CLIA NUMBER - FREDERICK OPTOMETRY LLC

Laboratory Demographics

  • CLIA Code: 21D2306040
  • Facility Name: FREDERICK OPTOMETRY LLC
  • Facility Address: 7810 WORMANS MILL ROAD #C
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT A. BERTOMEU
  • NPI Number: 1285677997
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2306040
LAB Type Physician Office
Facility Name FREDERICK OPTOMETRY LLC
Street 7810 WORMANS MILL ROAD #C
City FREDERICK
State MD
ZIP 21701
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