22D2280775 CLIA NUMBER - ENVISION OPTOMETRY

Laboratory Demographics

  • CLIA Code: 22D2280775
  • Facility Name: ENVISION OPTOMETRY
  • Facility Address: 126 HIGH STREET
    BOSTON, MA
    ZIP 02110
  • Facility Phone: 617 426-0100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACLYN GARLICH
  • NPI Number: 1386032092
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D2280775
LAB Type Physician Office
Facility Name ENVISION OPTOMETRY
Street 126 HIGH STREET
City BOSTON
State MA
ZIP 02110
Phone 617 426-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director JACLYN GARLICH

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