22D2320378 CLIA NUMBER - MYEYEDR OPTEMETRY OF MASSACHUSETTS PC

Laboratory Demographics

  • CLIA Code: 22D2320378
  • Facility Name: MYEYEDR OPTEMETRY OF MASSACHUSETTS PC
  • Facility Address: 1775 WASHINGTON STREET STE 220
    HANOVER, MA
    ZIP 02339
  • Facility Phone: 703 847-8899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTIS BEATTY
  • NPI Number: 1093398448
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 22D2320378
LAB Type Physician Office
Facility Name MYEYEDR OPTEMETRY OF MASSACHUSETTS PC
Street 1775 WASHINGTON STREET STE 220
City HANOVER
State MA
ZIP 02339
Phone 703 847-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director ARTIS BEATTY

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