24D2264426 CLIA NUMBER - LITCHFIELD EYE CENTER

Laboratory Demographics

  • CLIA Code: 24D2264426
  • Facility Name: LITCHFIELD EYE CENTER
  • Facility Address: 135 NORTH SIBLEY AVENUE
    LITCHFIELD, MN
    ZIP 55355
  • Facility Phone: 320 593-3100
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATIE TANCABEL
  • NPI Number: 1992995658
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 24D2264426
LAB Type Practitioner Other
Facility Name LITCHFIELD EYE CENTER
Street 135 NORTH SIBLEY AVENUE
City LITCHFIELD
State MN
ZIP 55355
Phone 320 593-3100
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