26D2051630 CLIA NUMBER - EYECARE PROFESSIONALS INC

Laboratory Demographics

  • CLIA Code: 26D2051630
  • Facility Name: EYECARE PROFESSIONALS INC
  • Facility Address: 111 NORTH MAIN STREET
    NEVADA, MO
    ZIP 64772
  • Facility Phone: 417 667-3076
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DELTON FAST
  • NPI Number: 1891820122
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2051630
LAB Type Physician Office
Facility Name EYECARE PROFESSIONALS INC
Street 111 NORTH MAIN STREET
City NEVADA
State MO
ZIP 64772
Phone 417 667-3076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director DELTON FAST

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