21D2317966 CLIA NUMBER - MYEYEDR OPTOMETRY GREENBELT LLC

Laboratory Demographics

  • CLIA Code: 21D2317966
  • Facility Name: MYEYEDR OPTOMETRY GREENBELT LLC
  • Facility Address: 5701 GREENBELT RD
    BERWYN HEIGHTS, MD
    ZIP 20740
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT A. BERTOMEU
  • NPI Number: 1225600968
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2317966
LAB Type Physician Office
Facility Name MYEYEDR OPTOMETRY GREENBELT LLC
Street 5701 GREENBELT RD
City BERWYN HEIGHTS
State MD
ZIP 20740
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 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director VINCENT A. BERTOMEU

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