26D2275723 CLIA NUMBER - CLARKSON EYECARE WILDWOOD

Laboratory Demographics

  • CLIA Code: 26D2275723
  • Facility Name: CLARKSON EYECARE WILDWOOD
  • Facility Address: 2404 TAYLOR RD
    WILDWOOD, MO
    ZIP 63040
  • Facility Phone: 636 458-8787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALANA KELLER
  • NPI Number: 1164475810
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2275723
LAB Type Physician Office
Facility Name CLARKSON EYECARE WILDWOOD
Street 2404 TAYLOR RD
City WILDWOOD
State MO
ZIP 63040
Phone 636 458-8787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director ALANA KELLER

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