15D2147892 CLIA NUMBER - MIDWEST EYE CONSULTANTS #52

Laboratory Demographics

  • CLIA Code: 15D2147892
  • Facility Name: MIDWEST EYE CONSULTANTS #52
  • Facility Address: 710 S 13TH STREET
    DECATUR, IN
    ZIP 46733
  • Facility Phone: 260 724-4318
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AUSTIN BEARD
  • NPI Number: 1851800858
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2147892
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #52
Street 710 S 13TH STREET
City DECATUR
State IN
ZIP 46733
Phone 260 724-4318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director AUSTIN BEARD

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