15D2108827 CLIA NUMBER - SOUTH GROVE EYE CARE

Laboratory Demographics

  • CLIA Code: 15D2108827
  • Facility Name: SOUTH GROVE EYE CARE
  • Facility Address: 373 MERIDIAN PARKE LN, STE E
    GREENWOOD, IN
    ZIP 46142
  • Facility Phone: 317 535-3935
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABBEY C. HOFFMAN
  • NPI Number: 1407865769
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2108827
LAB Type Physician Office
Facility Name SOUTH GROVE EYE CARE
Street 373 MERIDIAN PARKE LN, STE E
City GREENWOOD
State IN
ZIP 46142
Phone 317 535-3935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director ABBEY C. HOFFMAN

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