03D2133055 CLIA NUMBER - MIDWESTERN UNIVERSITY EYE INSTITUTE - ARIZONA

Laboratory Demographics

  • CLIA Code: 03D2133055
  • Facility Name: MIDWESTERN UNIVERSITY EYE INSTITUTE - ARIZONA
  • Facility Address: 5865 W UTOPIA RD
    GLENDALE, AZ
    ZIP 85381
  • Facility Phone: 623 806-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAILA OSMOTHERLY
  • NPI Number: 1891017745
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 03D2133055
LAB Type Physician Office
Facility Name MIDWESTERN UNIVERSITY EYE INSTITUTE - ARIZONA
Street 5865 W UTOPIA RD
City GLENDALE
State AZ
ZIP 85381
Phone 623 806-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2023
Certificate Expiration Date 7/4/2025
Facility Type Physician Office
Lab Director KAILA OSMOTHERLY

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This page was last updated on: 6/4/2025