15D2147537 CLIA NUMBER - MIDWEST EYE CONSULTANTS #1

Laboratory Demographics

  • CLIA Code: 15D2147537
  • Facility Name: MIDWEST EYE CONSULTANTS #1
  • Facility Address: 833 N CASS ST
    WABASH, IN
    ZIP 46992
  • Facility Phone: 260 563-3672
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE L. TRUMP
  • NPI Number: 1093784373
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147537
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #1
Street 833 N CASS ST
City WABASH
State IN
ZIP 46992
Phone 260 563-3672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director BRUCE L. TRUMP

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