39D2038964 CLIA NUMBER - CHESTER COUNTY EYE CARE ASSOC

Laboratory Demographics

  • CLIA Code: 39D2038964
  • Facility Name: CHESTER COUNTY EYE CARE ASSOC
  • Facility Address: 915 OLD FERN HILL ROAD SUITE 200
    WEST CHESTER, PA
    ZIP 19380
  • Facility Phone: 610 696-1230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN J. DESTAFENO MD
  • NPI Number: 1801202890
  • Taxonomy: 2084S0012X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 39D2038964
LAB Type Physician Office
Facility Name CHESTER COUNTY EYE CARE ASSOC
Street 915 OLD FERN HILL ROAD SUITE 200
City WEST CHESTER
State PA
ZIP 19380
Phone 610 696-1230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director DR. JOHN J. DESTAFENO MD

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