39D2086608 CLIA NUMBER - ADVANCED EYE SPECIALISTS LLC

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Laboratory Demographics

CLIA Number: 39D2086608

Facility Name: ADVANCED EYE SPECIALISTS LLC

Facility Address:
2915 EAST PROSPECT ROAD
YORK, PA
ZIP 17402
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Facility Phone Number: 717 755-1993

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710016787

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	39D2086608
LAB Type	Physician Office
Facility Name	ADVANCED EYE SPECIALISTS LLC
Street	2915 EAST PROSPECT ROAD
City	YORK
State	PA
ZIP	17402
Phone	717 755-1993
CertificateType	4
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024