39D2141136 CLIA NUMBER - WYOMISSING OPTOMETRIC CENTER, INC

Laboratory Demographics

  • CLIA Code: 39D2141136
  • Facility Name: WYOMISSING OPTOMETRIC CENTER, INC
  • Facility Address: 356 WEST MAIN AVENUE
    MYERSTOWN, PA
    ZIP 17067
  • Facility Phone: 610 374-3134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERRY J. BURRELL
  • NPI Number: 1366404345
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2141136
LAB Type Physician Office
Facility Name WYOMISSING OPTOMETRIC CENTER, INC
Street 356 WEST MAIN AVENUE
City MYERSTOWN
State PA
ZIP 17067
Phone 610 374-3134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director DR. KERRY J. BURRELL

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