16D2190313 CLIA NUMBER - EYECARE CENTRE

Laboratory Demographics

  • CLIA Code: 16D2190313
  • Facility Name: EYECARE CENTRE
  • Facility Address: 2312 23RD ST
    SPIRIT LAKE, IA
    ZIP 51360
  • Facility Phone: 712 336-1960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDY F. CORNWALL
  • NPI Number: 1750315040
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 16D2190313
LAB Type Physician Office
Facility Name EYECARE CENTRE
Street 2312 23RD ST
City SPIRIT LAKE
State IA
ZIP 51360
Phone 712 336-1960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director RANDY F. CORNWALL

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