22D1057391 CLIA NUMBER - ADVANCED EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 22D1057391
  • Facility Name: ADVANCED EYE SURGERY CENTER LLC
  • Facility Address: 500 FAUNCE CORNER ROAD SUITE 180
    NORTH DARTMOUTH, MA
    ZIP 02747
  • Facility Phone: 508 717-0270
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT M. CORIN
  • NPI Number: 1053360107
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D1057391
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED EYE SURGERY CENTER LLC
Street 500 FAUNCE CORNER ROAD SUITE 180
City NORTH DARTMOUTH
State MA
ZIP 02747
Phone 508 717-0270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Ambulatory Surgery Center
Lab Director SCOTT M. CORIN

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