15D2187911 CLIA NUMBER - KREGG KOONS OD INC

Laboratory Demographics

  • CLIA Code: 15D2187911
  • Facility Name: KREGG KOONS OD INC
  • Facility Address: 3300 W FOX RIDGE LN
    MUNCIE, IN
    ZIP 47304
  • Facility Phone: 765 289-4727
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KREGG C. KOONS
  • NPI Number: 1962515791
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2187911
LAB Type Practitioner Other
Facility Name KREGG KOONS OD INC
Street 3300 W FOX RIDGE LN
City MUNCIE
State IN
ZIP 47304
Phone 765 289-4727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Practitioner Other
Lab Director KREGG C. KOONS

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