36D2113296 CLIA NUMBER - VALLEY EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 36D2113296
  • Facility Name: VALLEY EYE INSTITUTE
  • Facility Address: 1118 FAIRINGTON DRIVE
    SIDNEY, OH
    ZIP 45365
  • Facility Phone: 937 492-3755
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY M. WARD
  • NPI Number: 1578590451
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2113296
LAB Type Practitioner Other
Facility Name VALLEY EYE INSTITUTE
Street 1118 FAIRINGTON DRIVE
City SIDNEY
State OH
ZIP 45365
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