31D2288239 CLIA NUMBER - PREMIER EYE MEDFORD, LLC

Laboratory Demographics

  • CLIA Code: 31D2288239
  • Facility Name: PREMIER EYE MEDFORD, LLC
  • Facility Address: 200 TUCKERTON ROAD STE 6
    MEDFORD, NJ
    ZIP 08055
  • Facility Phone: 856 983-8887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN C. SAMARTINO
  • NPI Number: 1639853062
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 31D2288239
LAB Type Physician Office
Facility Name PREMIER EYE MEDFORD, LLC
Street 200 TUCKERTON ROAD STE 6
City MEDFORD
State NJ
ZIP 08055
Phone 856 983-8887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director BRIAN C. SAMARTINO

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