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24D2288569 CLIA NUMBER - NORTHWEST EYE CLINIC, LLC

Laboratory Demographics

CLIA Number: 24D2288569

Facility Name: NORTHWEST EYE CLINIC, LLC

Facility Address:
12501 WHITEWATER DR STE 110
MINNETONKA, MN
ZIP 55343
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Facility Phone Number: 763 416-7600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1346326196

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name Field Value
CLIA Number 24D2288569
LAB Type Physician Office
Facility Name NORTHWEST EYE CLINIC, LLC
Street 12501 WHITEWATER DR STE 110
City MINNETONKA
State MN
ZIP 55343
Phone 763 416-7600
CertificateType 4
CertificateEffectiveDate 8/28/2023
CertificateExpirationDate 8/27/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024