15D2147574 CLIA NUMBER - MIDWEST EYE CONSULTANTS #31

Laboratory Demographics

  • CLIA Code: 15D2147574
  • Facility Name: MIDWEST EYE CONSULTANTS #31
  • Facility Address: 321 N MAIN STREET
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: (219) 663-5960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEILA K. BOGART
  • NPI Number: 1134641202
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147574
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #31
Street 321 N MAIN STREET
City CROWN POINT
State IN
ZIP 46307
Phone 2196635960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2026
Certificate Expiration Date 4/22/2028
Facility Type Physician Office
Lab Director SHEILA K. BOGART

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This page was last updated on: 5/18/2026