15D2263314 CLIA NUMBER - MIDWEST EYE CONSULTANTS #47

Laboratory Demographics

  • CLIA Code: 15D2263314
  • Facility Name: MIDWEST EYE CONSULTANTS #47
  • Facility Address: 620 E 11TH STREET
    RUSHVILLE, IN
    ZIP 46173
  • Facility Phone: 765 932-5553
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVE SICKBERT
  • NPI Number: 1316695612
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2263314
LAB Type Physician Office
Facility Name MIDWEST EYE CONSULTANTS #47
Street 620 E 11TH STREET
City RUSHVILLE
State IN
ZIP 46173
Phone 765 932-5553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director STEVE SICKBERT

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