36D2113295 CLIA NUMBER - VALLEY EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 36D2113295
  • Facility Name: VALLEY EYE INSTITUTE
  • Facility Address: 1449 S MAIN STREET
    BELLEFONTAINE, OH
    ZIP 43311
  • Facility Phone: 937 492-3755
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY M. WARD
  • NPI Number: 1033145180
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 36D2113295
LAB Type Practitioner Other
Facility Name VALLEY EYE INSTITUTE
Street 1449 S MAIN STREET
City BELLEFONTAINE
State OH
ZIP 43311
Phone 937 492-3755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Practitioner Other
Lab Director JEFFREY M. WARD

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