15D2147581 CLIA NUMBER - MIDWEST EYE CONSULTANTS #43

Laboratory Demographics

  • CLIA Code: 15D2147581
  • Facility Name: MIDWEST EYE CONSULTANTS #43
  • Facility Address: 350 S VAN BUREN SUITE D
    SHIPSHEWANA, IN
    ZIP 46565
  • Facility Phone: 260 768-7721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES M. CRAIG
  • NPI Number: 1952607780
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147581
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #43
Street 350 S VAN BUREN SUITE D
City SHIPSHEWANA
State IN
ZIP 46565
Phone 260 768-7721
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 CHARLES M. CRAIG

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