24D2264424 CLIA NUMBER - COKATO EYE CENTER

Laboratory Demographics

  • CLIA Code: 24D2264424
  • Facility Name: COKATO EYE CENTER
  • Facility Address: 115 OLSEN BLVD NE STE 300
    COKATO, MN
    ZIP 55321
  • Facility Phone: 320 286-5695
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATIE TANCABEL
  • NPI Number: 1245303825
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2264424
LAB Type Practitioner Other
Facility Name COKATO EYE CENTER
Street 115 OLSEN BLVD NE STE 300
City COKATO
State MN
ZIP 55321
Phone 320 286-5695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Practitioner Other
Lab Director KATIE TANCABEL

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