39D2165679 CLIA NUMBER - PHOENIXVILLE EYECARE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 39D2165679
  • Facility Name: PHOENIXVILLE EYECARE SPECIALISTS
  • Facility Address: 720 S MAIN STREET
    PHOENIXVILLE, PA
    ZIP 19460
  • Facility Phone: 610 933-3498
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN R. WILTON
  • NPI Number: 1912317348
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2165679
LAB Type Physician Office
Facility Name PHOENIXVILLE EYECARE SPECIALISTS
Street 720 S MAIN STREET
City PHOENIXVILLE
State PA
ZIP 19460
Phone 610 933-3498
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director DR. SUSAN R. WILTON

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