17D2141360 CLIA NUMBER - WICHITA OPTOMETRY PA

Laboratory Demographics

  • CLIA Code: 17D2141360
  • Facility Name: WICHITA OPTOMETRY PA
  • Facility Address: 2635 W DOUGLAS
    WICHITA, KS
    ZIP 67213
  • Facility Phone: 316 942-7496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY YARROW
  • NPI Number: 1053889451
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2141360
LAB Type Physician Office
Facility Name WICHITA OPTOMETRY PA
Street 2635 W DOUGLAS
City WICHITA
State KS
ZIP 67213
Phone 316 942-7496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director JEFFERY YARROW

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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