15D2313398 CLIA NUMBER - CITY OPTICAL COMPANY INC DBA DR TAVEL, DBA ALTERNATE VIEW

Laboratory Demographics

  • CLIA Code: 15D2313398
  • Facility Name: CITY OPTICAL COMPANY INC DBA DR TAVEL, DBA ALTERNATE VIEW
  • Facility Address: 750 VETERANS WAY SUITE 228
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 924-1300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JUDY WALRATH
  • NPI Number: 1003805185
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 15D2313398
LAB Type Practitioner Other
Facility Name CITY OPTICAL COMPANY INC DBA DR TAVEL, DBA ALTERNATE VIEW
Street 750 VETERANS WAY SUITE 228
City CARMEL
State IN
ZIP 46032
Phone 317 924-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Practitioner Other
Lab Director JUDY WALRATH

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