15D2147687 CLIA NUMBER - MIDWEST EYE CONSULTANTS #11

Laboratory Demographics

  • CLIA Code: 15D2147687
  • Facility Name: MIDWEST EYE CONSULTANTS #11
  • Facility Address: 3157 E CENTER ST
    WARSAW, IN
    ZIP 46582
  • Facility Phone: 574 269-1331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATHAN TRUMP
  • NPI Number: 1295798809
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147687
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #11
Street 3157 E CENTER ST
City WARSAW
State IN
ZIP 46582
Phone 574 269-1331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director NATHAN TRUMP

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