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15D2047924 CLIA NUMBER - RETINA INSTITUTE OF INDIANA

Laboratory Demographics

CLIA Number: 15D2047924

Facility Name: RETINA INSTITUTE OF INDIANA

Facility Address:
11192 DIEBOLD RD
FORT WAYNE, IN
ZIP 46845
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Facility Phone Number: 260 483-9500

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1457492167

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 15D2047924
LAB Type Ambulatory Surgery Center
Facility Name RETINA INSTITUTE OF INDIANA
Street 11192 DIEBOLD RD
City FORT WAYNE
State IN
ZIP 46845
Phone 260 483-9500
CertificateType 4
CertificateEffectiveDate 10/5/2022
CertificateExpirationDate 10/4/2024
FacilityType Waiver

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