15D2262134 CLIA NUMBER - EYE SURGEONS OF INDIANA, PC

Laboratory Demographics

  • CLIA Code: 15D2262134
  • Facility Name: EYE SURGEONS OF INDIANA, PC
  • Facility Address: 1400 TEAL RD, SUITE 8
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 317 841-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMON DIERKER
  • NPI Number: 1457399834
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2262134
LAB Type Physician Office
Facility Name EYE SURGEONS OF INDIANA, PC
Street 1400 TEAL RD, SUITE 8
City LAFAYETTE
State IN
ZIP 47905
Phone 317 841-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director DAMON DIERKER

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This page was last updated on: 6/4/2025