15D2060176 CLIA NUMBER - WHITSON VISION

Laboratory Demographics

  • CLIA Code: 15D2060176
  • Facility Name: WHITSON VISION
  • Facility Address: 1115 N RONALD REAGAN PKWY, STE 223
    AVON, IN
    ZIP 46123
  • Facility Phone: 317 333-8307
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOYCE A. DICKERSON
  • NPI Number: 1568493005
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2060176
LAB Type Physician Office
Facility Name WHITSON VISION
Street 1115 N RONALD REAGAN PKWY, STE 223
City AVON
State IN
ZIP 46123
Phone 317 333-8307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director JOYCE A. DICKERSON

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