14D2175683 CLIA NUMBER - MARION EYE CENTER, L T D

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CLIA Record

Field Name Field Value
CLIA Number 14D2175683
LAB Type Physician Office
Facility Name MARION EYE CENTER, L T D
Street 101 E MAIN ST
City FAIRFIELD
State IL
ZIP 62837
Phone 618 842-3228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2023
Certificate Expiration Date 11/25/2025
Facility Type Physician Office
Lab Director ROBERT KIPPENBROCK

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