15D2108303 CLIA NUMBER - EUGENE & MARILYN GLICK EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 15D2108303
  • Facility Name: EUGENE & MARILYN GLICK EYE INSTITUTE
  • Facility Address: 1160 W MICHIGAN STREET, SUITE 205J
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 274-8975
  • Facility Type: Other - UNIVERSITY RESEARCH LAB
  • Facility Type: Waiver
  • Lab Director: KATHRYN M. HAIDER
  • NPI Number: 1154391563
  • Taxonomy: 207LP3000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 15D2108303
LAB Type Other - UNIVERSITY RESEARCH LAB
Facility Name EUGENE & MARILYN GLICK EYE INSTITUTE
Street 1160 W MICHIGAN STREET, SUITE 205J
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 274-8975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Other - UNIVERSITY RESEARCH LAB
Lab Director KATHRYN M. HAIDER

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