15D2147607 CLIA NUMBER - MIDWEST EYE CONSULTANTS #18

Laboratory Demographics

  • CLIA Code: 15D2147607
  • Facility Name: MIDWEST EYE CONSULTANTS #18
  • Facility Address: 2001 REED ROAD
    FORT WAYNE, IN
    ZIP 46815
  • Facility Phone: 260 426-5663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL P. TAYLOR
  • NPI Number: 1386607901
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147607
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #18
Street 2001 REED ROAD
City FORT WAYNE
State IN
ZIP 46815
Phone 260 426-5663
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 DANIEL P. TAYLOR

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