36D2319215 CLIA NUMBER - BUCKEYE OPTOMETRY

Laboratory Demographics

  • CLIA Code: 36D2319215
  • Facility Name: BUCKEYE OPTOMETRY
  • Facility Address: 150 MCMAHAN BLVD
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 389-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY L. BRUCH
  • NPI Number: 1124307004
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 36D2319215
LAB Type Physician Office
Facility Name BUCKEYE OPTOMETRY
Street 150 MCMAHAN BLVD
City MARION
State OH
ZIP 43302
Phone 740 389-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director KELLY L. BRUCH

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