15D2252687 CLIA NUMBER - BOLING VISION CENTER, LLC

Laboratory Demographics

  • CLIA Code: 15D2252687
  • Facility Name: BOLING VISION CENTER, LLC
  • Facility Address: 2004 EDISON RD
    SOUTH BEND, IN
    ZIP 46617
  • Facility Phone: 574 293-3545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER M. GERLACH
  • NPI Number: 1467585885
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 15D2252687
LAB Type Physician Office
Facility Name BOLING VISION CENTER, LLC
Street 2004 EDISON RD
City SOUTH BEND
State IN
ZIP 46617
Phone 574 293-3545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director HEATHER M. GERLACH

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