15D2147613 CLIA NUMBER - MIDWEST EYE CONSULTANTS #37

Laboratory Demographics

  • CLIA Code: 15D2147613
  • Facility Name: MIDWEST EYE CONSULTANTS #37
  • Facility Address: 750 N GRANDSTAFF DRIVE
    AUBURN, IN
    ZIP 46706
  • Facility Phone: 260 925-3116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON L. GOOD
  • NPI Number: 1396914271
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147613
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #37
Street 750 N GRANDSTAFF DRIVE
City AUBURN
State IN
ZIP 46706
Phone 260 925-3116
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 ALLISON L. GOOD

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