41D2242612 CLIA NUMBER - KLIBANOFF EYE ASSOCIATES, LTD

Laboratory Demographics

CLIA Number: 41D2242612

Facility Name: KLIBANOFF EYE ASSOCIATES, LTD

Facility Address:
55 BROAD ST
PAWTUCKET, RI
ZIP 02860
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Facility Phone Number: 401 723-3400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467508556

Taxonomy: 152WC0802X - Optometrist
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

CLIA Record

Field Name	Field Value
CLIA Number	41D2242612
LAB Type	Physician Office
Facility Name	KLIBANOFF EYE ASSOCIATES, LTD
Street	55 BROAD ST
City	PAWTUCKET
State	RI
ZIP	02860
Phone	401 723-3400
CertificateType	4
CertificateEffectiveDate	11/10/2023
CertificateExpirationDate	11/9/2025
FacilityType	Waiver

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