41D2093047 CLIA NUMBER - KOCH EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 41D2093047
  • Facility Name: KOCH EYE ASSOCIATES
  • Facility Address: 20 HAMPTON WAY BLDG #1A
    WAKEFIELD, RI
    ZIP 02879
  • Facility Phone: 774 320-3040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COREY B. WESTERFELD
  • NPI Number: 1093266512
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 41D2093047
LAB Type Physician Office
Facility Name KOCH EYE ASSOCIATES
Street 20 HAMPTON WAY BLDG #1A
City WAKEFIELD
State RI
ZIP 02879
Phone 774 320-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director COREY B. WESTERFELD

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