15D2087288 CLIA NUMBER - CHARLES RUTAN, OD

Laboratory Demographics

  • CLIA Code: 15D2087288
  • Facility Name: CHARLES RUTAN, OD
  • Facility Address: 224 ELM ST
    CLINTON, IN
    ZIP 47842
  • Facility Phone: 765 832-3292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES H. RUTAN
  • NPI Number: 1487643268
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2087288
LAB Type Physician Office
Facility Name CHARLES RUTAN, OD
Street 224 ELM ST
City CLINTON
State IN
ZIP 47842
Phone 765 832-3292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director CHARLES H. RUTAN

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