24D2093833 CLIA NUMBER - MOOSE LAKE EYE CARE

Laboratory Demographics

  • CLIA Code: 24D2093833
  • Facility Name: MOOSE LAKE EYE CARE
  • Facility Address: 312 ELM AVE
    MOOSE LAKE, MN
    ZIP 55767
  • Facility Phone: 218 485-8495
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SASHA N. NARAYAN
  • NPI Number: 1700263985
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2093833
LAB Type Physician Office
Facility Name MOOSE LAKE EYE CARE
Street 312 ELM AVE
City MOOSE LAKE
State MN
ZIP 55767
Phone 218 485-8495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director SASHA N. NARAYAN

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