15D2074226 CLIA NUMBER - MIDWEST CORNEA ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 15D2074226
  • Facility Name: MIDWEST CORNEA ASSOCIATES, LLC
  • Facility Address: 11220 ILLINOIS STREET, SUITE 240
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 817-1765
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER NOTTAGE
  • NPI Number: 1639455066
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2074226
LAB Type Physician Office
Facility Name MIDWEST CORNEA ASSOCIATES, LLC
Street 11220 ILLINOIS STREET, SUITE 240
City CARMEL
State IN
ZIP 46032
Phone 317 817-1765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director JENNIFER NOTTAGE

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