13D2121356 CLIA NUMBER - SUMMIT EYECARE

Laboratory Demographics

  • CLIA Code: 13D2121356
  • Facility Name: SUMMIT EYECARE
  • Facility Address: 3351 MERLIN DR
    IDAHO FALLS, ID
    ZIP 83404
  • Facility Phone: 208 552-5594
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRAIG FLEMING
  • NPI Number: 1992138432
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 13D2121356
LAB Type Physician Office
Facility Name SUMMIT EYECARE
Street 3351 MERLIN DR
City IDAHO FALLS
State ID
ZIP 83404
Phone 208 552-5594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Physician Office
Lab Director CRAIG FLEMING

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