21D2317997 CLIA NUMBER - BOWIE MED OPTOMETRY LLC

Laboratory Demographics

  • CLIA Code: 21D2317997
  • Facility Name: BOWIE MED OPTOMETRY LLC
  • Facility Address: 6804 RACE TRACK RD
    BOWIE, MD
    ZIP 20715
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT A. BERTOMEU
  • NPI Number: 1972839520
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2317997
LAB Type Physician Office
Facility Name BOWIE MED OPTOMETRY LLC
Street 6804 RACE TRACK RD
City BOWIE
State MD
ZIP 20715
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