22D2244545 CLIA NUMBER - NYSSA AD HEDOUVILLE, OD, LLC DBA MASHPEE VISION CARE

Laboratory Demographics

  • CLIA Code: 22D2244545
  • Facility Name: NYSSA AD HEDOUVILLE, OD, LLC DBA MASHPEE VISION CARE
  • Facility Address: 681 FALMOUTH ROAD, SUITE B25
    MASHPEE, MA
    ZIP 02649
  • Facility Phone: 508 477-1802
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NYSSA A. D HEDOUVILLE
  • NPI Number: 1518512482
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D2244545
LAB Type Physician Office
Facility Name NYSSA AD HEDOUVILLE, OD, LLC DBA MASHPEE VISION CARE
Street 681 FALMOUTH ROAD, SUITE B25
City MASHPEE
State MA
ZIP 02649
Phone 508 477-1802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director NYSSA A. D HEDOUVILLE

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