24D2037648 CLIA NUMBER - LAKE REGION EYE CARE

Laboratory Demographics

  • CLIA Code: 24D2037648
  • Facility Name: LAKE REGION EYE CARE
  • Facility Address: 610 30TH AVENUE WEST SUITE 200
    ALEXANDRIA, MN
    ZIP 56308
  • Facility Phone: 320 763-7055
  • Facility Type: Other - OPTOMETRIST OFFICE
  • Facility Type: Waiver
  • Lab Director: DAVID J. SCHNEIDERHAN
  • NPI Number: 1528066651
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2037648
LAB Type Other - OPTOMETRIST OFFICE
Facility Name LAKE REGION EYE CARE
Street 610 30TH AVENUE WEST SUITE 200
City ALEXANDRIA
State MN
ZIP 56308
Phone 320 763-7055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Other - OPTOMETRIST OFFICE
Lab Director DAVID J. SCHNEIDERHAN

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