17D2321635 CLIA NUMBER - WICHITA OPTOMETRY

Laboratory Demographics

  • CLIA Code: 17D2321635
  • Facility Name: WICHITA OPTOMETRY
  • Facility Address: 8150 E DOUGLAS SUITE 50
    WICHITA, KS
    ZIP 67206
  • Facility Phone: 316 942-7496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY YARROW
  • NPI Number: 1396213799
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 17D2321635
LAB Type Physician Office
Facility Name WICHITA OPTOMETRY
Street 8150 E DOUGLAS SUITE 50
City WICHITA
State KS
ZIP 67206
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 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director JEFFREY YARROW

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