26D2090389 CLIA NUMBER - SUREVISION EYE CENTERS MIDWEST LLC

Laboratory Demographics

  • CLIA Code: 26D2090389
  • Facility Name: SUREVISION EYE CENTERS MIDWEST LLC
  • Facility Address: 12101 WOODCREST EXECUTIVE DRIVE SUITE 150
    SAINT LOUIS, MO
    ZIP 63141
  • Facility Phone: 314 921-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAWRENCE A. GANS
  • NPI Number: 1699857912
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 26D2090389
LAB Type Physician Office
Facility Name SUREVISION EYE CENTERS MIDWEST LLC
Street 12101 WOODCREST EXECUTIVE DRIVE SUITE 150
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 921-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director LAWRENCE A. GANS

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