15D2077238 CLIA NUMBER - WILSON EYECARE PROFESSIONALS

Laboratory Demographics

  • CLIA Code: 15D2077238
  • Facility Name: WILSON EYECARE PROFESSIONALS
  • Facility Address: 740 W GREEN MEADOWS DR
    GREENFIELD, IN
    ZIP 46140
  • Facility Phone: 317 477-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS J. WILSON
  • NPI Number: 1669755575
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2077238
LAB Type Physician Office
Facility Name WILSON EYECARE PROFESSIONALS
Street 740 W GREEN MEADOWS DR
City GREENFIELD
State IN
ZIP 46140
Phone 317 477-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director DOUGLAS J. WILSON

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