24D2021491 CLIA NUMBER - EAGAN EYE CLINIC LLC D/B/A INSIGHT VISION CENTER

Home > CLIA Lookup > 24D2021491

Laboratory Demographics

CLIA Number: 24D2021491

Facility Name: EAGAN EYE CLINIC LLC D/B/A INSIGHT VISION CENTER

Facility Address:
206 DIVISION STREET
WAITE PARK, MN
ZIP 56387
Get Directions

Facility Phone Number: 320 253-0365

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457414419

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	24D2021491
LAB Type	Physician Office
Facility Name	EAGAN EYE CLINIC LLC D/B/A INSIGHT VISION CENTER
Street	206 DIVISION STREET
City	WAITE PARK
State	MN
ZIP	56387
Phone	320 253-0365
CertificateType	4
CertificateEffectiveDate	7/12/2022
CertificateExpirationDate	7/11/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024