36D2130755 CLIA NUMBER - CUSTOM EYES FAMILY OPTOMETRY, INC

Laboratory Demographics

  • CLIA Code: 36D2130755
  • Facility Name: CUSTOM EYES FAMILY OPTOMETRY, INC
  • Facility Address: 1611 TIKI LN
    LANCASTER, OH
    ZIP 43130
  • Facility Phone: 740 687-1555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON W. BOWMAN
  • NPI Number: 1225238710
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2130755
LAB Type Physician Office
Facility Name CUSTOM EYES FAMILY OPTOMETRY, INC
Street 1611 TIKI LN
City LANCASTER
State OH
ZIP 43130
Phone 740 687-1555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director AARON W. BOWMAN

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