24D2094996 CLIA NUMBER - SOUTHWEST EYE CARE

Laboratory Demographics

  • CLIA Code: 24D2094996
  • Facility Name: SOUTHWEST EYE CARE
  • Facility Address: 1200 CHASKA CREEK WAY SUITE 110
    CHASKA, MN
    ZIP 55318
  • Facility Phone: 952 466-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JABIN G. KRASSIN
  • NPI Number: 1144343252
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2094996
LAB Type Physician Office
Facility Name SOUTHWEST EYE CARE
Street 1200 CHASKA CREEK WAY SUITE 110
City CHASKA
State MN
ZIP 55318
Phone 952 466-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director JABIN G. KRASSIN

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