15D2147583 CLIA NUMBER - MIDWEST EYE CONSULTANTS #25

Laboratory Demographics

  • CLIA Code: 15D2147583
  • Facility Name: MIDWEST EYE CONSULTANTS #25
  • Facility Address: 2705 S BERKLEY RD
    KOKOMO, IN
    ZIP 46902
  • Facility Phone: 765 453-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. UNGER
  • NPI Number: 1003879628
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2147583
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #25
Street 2705 S BERKLEY RD
City KOKOMO
State IN
ZIP 46902
Phone 765 453-2200
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. UNGER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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