15D2275325 CLIA NUMBER - NORTHEAST OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 15D2275325
  • Facility Name: NORTHEAST OPHTHALMOLOGY
  • Facility Address: 11277 TWIN CREEKS DR SUITE B
    FORT WAYNE, IN
    ZIP 46845
  • Facility Phone: 260 422-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA M. SCHROEDER
  • NPI Number: 1235846650
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 15D2275325
LAB Type Physician Office
Facility Name NORTHEAST OPHTHALMOLOGY
Street 11277 TWIN CREEKS DR SUITE B
City FORT WAYNE
State IN
ZIP 46845
Phone 260 422-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director BARBARA M. SCHROEDER

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