21D2312633 CLIA NUMBER - GOODMAN EYECARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2312633
  • Facility Name: GOODMAN EYECARE CENTER LLC
  • Facility Address: 3309 FORESTVILLE PL
    FORESTVILLE, MD
    ZIP 20747
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT BERTOMEU
  • NPI Number: 1013072263
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2312633
LAB Type Physician Office
Facility Name GOODMAN EYECARE CENTER LLC
Street 3309 FORESTVILLE PL
City FORESTVILLE
State MD
ZIP 20747
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