15D2147609 CLIA NUMBER - MIDWEST EYE CONSULTANTS #50

Laboratory Demographics

  • CLIA Code: 15D2147609
  • Facility Name: MIDWEST EYE CONSULTANTS #50
  • Facility Address: 150 FOREST PARK DRIVE
    BERNE, IN
    ZIP 46711
  • Facility Phone: 260 589-3197
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN A. DEGROFF
  • NPI Number: 1578090239
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147609
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #50
Street 150 FOREST PARK DRIVE
City BERNE
State IN
ZIP 46711
Phone 260 589-3197
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 STEVEN A. DEGROFF

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