15D2061710 CLIA NUMBER - NORTHWEST IND EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 15D2061710
  • Facility Name: NORTHWEST IND EYE ASSOCIATES
  • Facility Address: 2101 BURLINGTON BEACH RD
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 462-0309
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MYRON I. LEWYCKYJ
  • NPI Number: 1336115237
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2061710
LAB Type Physician Office
Facility Name NORTHWEST IND EYE ASSOCIATES
Street 2101 BURLINGTON BEACH RD
City VALPARAISO
State IN
ZIP 46383
Phone 219 462-0309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director MYRON I. LEWYCKYJ

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