17D2041674 CLIA NUMBER - HEARTLAND EYE CARE, LLC

Laboratory Demographics

  • CLIA Code: 17D2041674
  • Facility Name: HEARTLAND EYE CARE, LLC
  • Facility Address: 619 SW CORPORATE VIEW
    TOPEKA, KS
    ZIP 66615
  • Facility Phone: 785 235-3322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRENT L. VANDE GARDE
  • NPI Number: 1720198211
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 17D2041674
LAB Type Physician Office
Facility Name HEARTLAND EYE CARE, LLC
Street 619 SW CORPORATE VIEW
City TOPEKA
State KS
ZIP 66615
Phone 785 235-3322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director TRENT L. VANDE GARDE

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This page was last updated on: 6/4/2025