17D1038365 CLIA NUMBER - FRY EYE ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 17D1038365
  • Facility Name: FRY EYE ASSOCIATES, PA
  • Facility Address: 502 COLLEGE STREET
    GARDEN CITY, KS
    ZIP 67846
  • Facility Phone: 620 275-7248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER D. TEETER
  • NPI Number: 1124049499
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 17D1038365
LAB Type Physician Office
Facility Name FRY EYE ASSOCIATES, PA
Street 502 COLLEGE STREET
City GARDEN CITY
State KS
ZIP 67846
Phone 620 275-7248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director JENNIFER D. TEETER

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