15D2053103 CLIA NUMBER - EYE PHYSICIANS, INC

Laboratory Demographics

  • CLIA Code: 15D2053103
  • Facility Name: EYE PHYSICIANS, INC
  • Facility Address: 3433 S LAFOUNTAIN ST
    KOKOMO, IN
    ZIP 46902
  • Facility Phone: 765 453-3777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. WILD
  • NPI Number: 1740357748
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2053103
LAB Type Physician Office
Facility Name EYE PHYSICIANS, INC
Street 3433 S LAFOUNTAIN ST
City KOKOMO
State IN
ZIP 46902
Phone 765 453-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director MICHAEL R. WILD

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