15D2019521 CLIA NUMBER - PEREZ LI OPHTHALMOLOGY GROUP

Laboratory Demographics

  • CLIA Code: 15D2019521
  • Facility Name: PEREZ LI OPHTHALMOLOGY GROUP
  • Facility Address: 2905 ENTERPRISE DRIVE
    ANDERSON, IN
    ZIP 46013
  • Facility Phone: 765 649-7146
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHING LI
  • NPI Number: 1457547069
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2019521
LAB Type Physician Office
Facility Name PEREZ LI OPHTHALMOLOGY GROUP
Street 2905 ENTERPRISE DRIVE
City ANDERSON
State IN
ZIP 46013
Phone 765 649-7146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director CHING LI

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