15D2147584 CLIA NUMBER - MIDWEST EYE CONSULTANTS #29

Laboratory Demographics

  • CLIA Code: 15D2147584
  • Facility Name: MIDWEST EYE CONSULTANTS #29
  • Facility Address: 2260 MAIN ST
    ROCHESTER, IN
    ZIP 46975
  • Facility Phone: 574 223-3916
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW R. FRIEDEN
  • NPI Number: 1437112059
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147584
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #29
Street 2260 MAIN ST
City ROCHESTER
State IN
ZIP 46975
Phone 574 223-3916
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 MATTHEW R. FRIEDEN

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