26D2156512 CLIA NUMBER - REGIONAL EYECARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 26D2156512
  • Facility Name: REGIONAL EYECARE ASSOCIATES
  • Facility Address: 3013 WINGHAVEN BOULEVARD
    O FALLON, MO
    ZIP 63368
  • Facility Phone: 636 561-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. WICKHAM
  • NPI Number: 1043380652
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2156512
LAB Type Physician Office
Facility Name REGIONAL EYECARE ASSOCIATES
Street 3013 WINGHAVEN BOULEVARD
City O FALLON
State MO
ZIP 63368
Phone 636 561-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Physician Office
Lab Director MATTHEW A. WICKHAM

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