21D2312627 CLIA NUMBER - OXON HILL OPTOMETRY LLC

Laboratory Demographics

  • CLIA Code: 21D2312627
  • Facility Name: OXON HILL OPTOMETRY LLC
  • Facility Address: 6178 OXON HILL RD STE 100
    OXON HILL, MD
    ZIP 20745
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT BERTOMEU
  • NPI Number: 1326103334
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2312627
LAB Type Physician Office
Facility Name OXON HILL OPTOMETRY LLC
Street 6178 OXON HILL RD STE 100
City OXON HILL
State MD
ZIP 20745
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 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director VINCENT BERTOMEU

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