15D2096828 CLIA NUMBER - LAKESHORE EYECARE, PC DBA SPECTRUM EYEWEAR GALLERY

Laboratory Demographics

  • CLIA Code: 15D2096828
  • Facility Name: LAKESHORE EYECARE, PC DBA SPECTRUM EYEWEAR GALLERY
  • Facility Address: 904 PARKWAY AVE
    ELKHART, IN
    ZIP 46516
  • Facility Phone: 574 970-7444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID R. BRITZKE
  • NPI Number: 1811950009
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2096828
LAB Type Physician Office
Facility Name LAKESHORE EYECARE, PC DBA SPECTRUM EYEWEAR GALLERY
Street 904 PARKWAY AVE
City ELKHART
State IN
ZIP 46516
Phone 574 970-7444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director DAVID R. BRITZKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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