15D2147582 CLIA NUMBER - MIDWEST EYE CONSULTANTS #03

Laboratory Demographics

  • CLIA Code: 15D2147582
  • Facility Name: MIDWEST EYE CONSULTANTS #03
  • Facility Address: 2500 E MARKET ST
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 574 722-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRITTANY WOLFE
  • NPI Number: 1457314809
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147582
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #03
Street 2500 E MARKET ST
City LOGANSPORT
State IN
ZIP 46947
Phone 574 722-5252
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 BRITTANY WOLFE

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