15D2147540 CLIA NUMBER - MIDWEST EYE CONSULTANTS #28

Laboratory Demographics

  • CLIA Code: 15D2147540
  • Facility Name: MIDWEST EYE CONSULTANTS #28
  • Facility Address: 935 W MAIN STREET
    PERU, IN
    ZIP 46970
  • Facility Phone: 765 472-4344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEG E. GUTHRIE-PENNINGTON
  • NPI Number: 1457314072
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147540
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #28
Street 935 W MAIN STREET
City PERU
State IN
ZIP 46970
Phone 765 472-4344
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 MEG E. GUTHRIE-PENNINGTON

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