15D2096729 CLIA NUMBER - ANDERSON EYE CARE PC

Laboratory Demographics

  • CLIA Code: 15D2096729
  • Facility Name: ANDERSON EYE CARE PC
  • Facility Address: 9270 WICKER AVE, STE A
    ST JOHN, IN
    ZIP 46373
  • Facility Phone: 219 365-1227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALERIE R. ANDERSON
  • NPI Number: 1073804449
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2096729
LAB Type Physician Office
Facility Name ANDERSON EYE CARE PC
Street 9270 WICKER AVE, STE A
City ST JOHN
State IN
ZIP 46373
Phone 219 365-1227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director VALERIE R. ANDERSON

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