22D2303707 CLIA NUMBER - NORTHEAST OPTOMETRY, LLC

Laboratory Demographics

  • CLIA Code: 22D2303707
  • Facility Name: NORTHEAST OPTOMETRY, LLC
  • Facility Address: 60 MASSACHUSETTS AVE
    ARLINGTON, MA
    ZIP 02474
  • Facility Phone: 781 316-0141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPHINE W. KO
  • NPI Number: 1922732684
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D2303707
LAB Type Physician Office
Facility Name NORTHEAST OPTOMETRY, LLC
Street 60 MASSACHUSETTS AVE
City ARLINGTON
State MA
ZIP 02474
Phone 781 316-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director JOSEPHINE W. KO

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