22D1060177 CLIA NUMBER - NORTH SUBURBAN EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 22D1060177
  • Facility Name: NORTH SUBURBAN EYE ASSOCIATES
  • Facility Address: 669 MAIN STREET
    WAKEFIELD, MA
    ZIP 01880
  • Facility Phone: 781 245-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: C DOUGLAS EVANS
  • NPI Number: 1407186992
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 22D1060177
LAB Type Physician Office
Facility Name NORTH SUBURBAN EYE ASSOCIATES
Street 669 MAIN STREET
City WAKEFIELD
State MA
ZIP 01880
Phone 781 245-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director C DOUGLAS EVANS

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