15D2147577 CLIA NUMBER - MIDWEST EYE CONSULTANTS #33

Laboratory Demographics

  • CLIA Code: 15D2147577
  • Facility Name: MIDWEST EYE CONSULTANTS #33
  • Facility Address: 2317 FRANKLIN ST
    MICHIGAN CITY, IN
    ZIP 46360
  • Facility Phone: 219 874-3211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. EBERLIN
  • NPI Number: 1114975877
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147577
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #33
Street 2317 FRANKLIN ST
City MICHIGAN CITY
State IN
ZIP 46360
Phone 219 874-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director JENNIFER L. EBERLIN

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This page was last updated on: 6/4/2025