15D2147585 CLIA NUMBER - MIDWEST EYE CONSULTANTS #42

Laboratory Demographics

  • CLIA Code: 15D2147585
  • Facility Name: MIDWEST EYE CONSULTANTS #42
  • Facility Address: 220 N IRONWOOD DR
    SOUTH BEND, IN
    ZIP 46615
  • Facility Phone: (574) 289-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS D. MORLAN
  • NPI Number: 1780980516
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147585
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #42
Street 220 N IRONWOOD DR
City SOUTH BEND
State IN
ZIP 46615
Phone 5742893937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2026
Certificate Expiration Date 4/22/2028
Facility Type Physician Office
Lab Director THOMAS D. MORLAN

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This page was last updated on: 5/18/2026