21D2306043 CLIA NUMBER - ROCKVILLE OPTOMETRY LLC

Laboratory Demographics

  • CLIA Code: 21D2306043
  • Facility Name: ROCKVILLE OPTOMETRY LLC
  • Facility Address: 14929 SHADY GROVE RD UNIT K
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VINCENT A. BERTOMEU
  • NPI Number: 1710043278
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2306043
LAB Type Physician Office
Facility Name ROCKVILLE OPTOMETRY LLC
Street 14929 SHADY GROVE RD UNIT K
City ROCKVILLE
State MD
ZIP 20850
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