15D2147692 CLIA NUMBER - MIDWEST EYE CONSULTANTS #4

Laboratory Demographics

  • CLIA Code: 15D2147692
  • Facility Name: MIDWEST EYE CONSULTANTS #4
  • Facility Address: 215 E JEFFERSON ST
    TIPTON, IN
    ZIP 46072
  • Facility Phone: 765 675-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM T. GARNER
  • NPI Number: 1366405714
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147692
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #4
Street 215 E JEFFERSON ST
City TIPTON
State IN
ZIP 46072
Phone 765 675-3937
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 ADAM T. GARNER

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